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Organization

REINVENTME, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRISHA KHANNA (OWNER)
(352) 565-7633
Entity
Organization

Contact information

Practice address
13696 N US HIGHWAY 441 STE 100, LADY LAKE, FL 32159-6815
(352) 565-7633
Mailing address
1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159-6827
(352) 565-7633

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2086S0122X
Plastic and Reconstructive Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
MEDICARE
FL
Enumeration date
04/17/2019
Last updated
11/16/2022
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