Regenerative Medical Group
Regenerative Medical Group is a Family Medicine Physician in Port Saint Lucie, Florida. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
1400 SE Goldtree Dr Ste 207Port Saint Lucie, FL 34952-7582
Phone: (772) 777-2836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 035817 (CA) |
|---|
Record details
| NPI number | 1578928867 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bryn Henderson — Ceo · (714) 981-8058 |
| NPI enumerated | December 31, 2015 |
| Last updated in NPPES | December 31, 2015 |
| Mailing address | 600 E Chapman Ave, Orange, CA 92866-1605 |
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