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Organization

REJUVE HEALTH PLUS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH JOANN VIANO RN (OWNER)
(727) 612-0705
Entity
Organization

Contact information

Practice address
3144 TAMPA RD STE 1, OLDSMAR, FL 34677-2290
(727) 612-0705
Mailing address
1838 WILMAR AVE, TARPON SPGS, FL 34689-5751
(727) 612-0705

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163WD0400X
Diabetes Educator Registered Nurse
163WG0000X
General Practice Registered Nurse
163WN1003X
Nutrition Support Registered Nurse
163WS0121X
Plastic Surgery Registered Nurse
Primary
363L00000X
Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
12/15/2021
Last updated
12/15/2021
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