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

Organization Multi-Specialty Clinic/Center · NPI 1760246656

Regenerative Medicine Space Coast LLC is a Multi-Specialty Clinic/Center in Orlando, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

954 Lake Baldwin Ln
Orlando, FL 32814-6651
Phone: (407) 315-2271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1760246656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rafael Foss — Owner · (786) 370-1111
NPI enumeratedFebruary 12, 2024
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 10, 2024
Mailing addressPo Box 24556, Jacksonville, FL 32241-4556

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