Organization
ADVANCED REJUVENATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA L KIRSCHER (PRESIDENT)
(941) 504-2204
Entity
Organization
Contact information
Practice address
2033 WOOD ST, 210, SARASOTA, FL 34237-7900
(941) 330-8553
(941) 330-9853
Mailing address
2033 WOOD ST, 210, SARASOTA, FL 34237-7900
(941) 330-8553
(941) 330-9853
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
FL
Other
Enumeration date
10/05/2012
Last updated
10/23/2012
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