Organization
RENEWAL MEDICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN ARUTA MD (OWNER)
(954) 929-1200
Entity
Organization
Contact information
Practice address
6655 VIA REGINA, BOCA RATON, FL 33433-3920
(954) 914-9199
Mailing address
6655 VIA REGINA, BOCA RATON, FL 33433-3920
(954) 914-9199
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME59850
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14368
BLUE CROSS BLUE SHIELD
FL
01
—
6767583
UNITED HEALTH CARE
FL
Enumeration date
05/24/2005
Last updated
03/07/2023
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