Organization
JOINT REGENERATION OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTYN MANZI (AUTHORIZED OFFICIAL)
(561) 568-1535
Entity
Organization
Contact information
Practice address
120 STATE ST E STE 104, OLDSMAR, FL 34677-3647
(813) 556-7440
Mailing address
120 STATE ST E STE 104, OLDSMAR, FL 34677-3647
(813) 556-7440
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
06/14/2022
Last updated
07/29/2024
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