Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Regenerative & Restorative Medicine, LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1639861099

Genesis Regenerative & Restorative Medicine, LLC is a Physical Medicine & Rehabilitation Physician in Daytona Beach, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1893 N Clyde Morris Blvd Ste 120
Daytona Beach, FL 32117-5536
Phone: (386) 866-9091
Fax: (904) 813-7156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1639861099
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Sandborn — Physician/Owner · (386) 866-9091
NPI enumeratedMay 24, 2023
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024
Mailing address1893 N Clyde Morris Blvd Ste 120, Daytona Beach, FL 32117-5536

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