Organization
BIOCELL REGENERATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN URSHAN (OWNER, AUTHORIZED OFFICIAL)
(813) 443-8222
Entity
Organization
Contact information
Practice address
3605 MADACA LN, TAMPA, FL 33618-2048
(813) 443-8222
Mailing address
3605 MADACA LN, TAMPA, FL 33618-2048
(813) 443-8222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/24/2020
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