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Organization

REGENERATIVE HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISTIN WULFF MD (MEDICAL DIRECTOR)
(352) 430-2121
Entity
Organization

Contact information

Practice address
1585 SANTA BARBARA BLVD STE A, LADY LAKE, FL 32159-6820
(352) 430-2121
(352) 430-2114
Mailing address
1585 SANTA BARBARA BLVD STE A, LADY LAKE, FL 32159-6820
(352) 430-2121
(352) 430-2114

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
01/13/2021
Last updated
01/13/2021
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