Organization
RENAISSANCE REJUVENATING MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFONSO GARCIA BELLO MD (PRESIDENT)
(239) 800-3028
Entity
Organization
Contact information
Practice address
629 SW 4TH ST, CAPE CORAL, FL 33991-1971
(239) 800-3028
(239) 599-4893
Mailing address
629 SW 4TH ST, CAPE CORAL, FL 33991-1971
(239) 800-3028
(239) 599-4893
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Enumeration date
10/03/2018
Last updated
03/29/2021
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