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

Regen Primary Medical LLC

Organization Clinic/Center · NPI 1508475682

Regen Primary Medical LLC is a Clinic/Center in Champions Gate, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8390 Champions Gate Blvd Ste 108
Champions Gate, FL 33896-8311
Phone: (714) 551-9576
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1508475682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryn Henderson — Owner · (714) 551-9576
NPI enumeratedJuly 24, 2020
Last updated in NPPESJuly 24, 2020
Certification dateJuly 24, 2020
Mailing address8390 Champions Gate Blvd Ste 108, Champions Gate, FL 33896-8311