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

Organization Medical Specialty Clinic/Center · NPI 1598252090

Regenerative Sport Spine and Spa is a Medical Specialty Clinic/Center in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
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Practice location Address checks out

10920 Moss Park Rd Ste 218
Orlando, FL 32832-6087
Phone: (407) 730-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence ME127634 (FL)

Record details

NPI number1598252090
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pallavi Cherukupally — Owner · (407) 730-5600
NPI enumeratedApril 19, 2018
Last updated in NPPESApril 19, 2018
Mailing address10920 Moss Park Rd Ste 218, Orlando, FL 32832-6087

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