Regenerative Medical Group Florida
Regenerative Medical Group Florida is a Family Medicine Physician in Port St Lucie, Florida. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1400 SE Goldtree Dr Ste 105Port St Lucie, FL 34952-7582
Phone: (772) 207-7534
Fax: (772) 777-2837
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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 |
|---|
Record details
| NPI number | 1144736471 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shane Whiteley — Owner · (772) 207-7534 |
| NPI enumerated | December 22, 2017 |
| Last updated in NPPES | December 22, 2017 |
| Mailing address | 1400 Se Goldtree Dr Ste 105, Port St Lucie, FL 34952-7582 |
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