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

Rejuva Dermatology & Vein Center, PLLC

Organization Phlebology Physician · NPI 1316522691

Rejuva Dermatology & Vein Center, PLLC is a Phlebology Physician in Venice, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

395 Commercial Ct Ste C
Venice, FL 34292-1651
Phone: (941) 529-0070
Fax: (941) 529-0539
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Phlebology Physician Taxonomy 202K00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1316522691
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Golta Rasouli — Co-Presendent · (941) 529-0070
Other names Dermatology Associates
NPI enumeratedMarch 17, 2021
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address2389 E Venice Ave Unit 510, Venice, FL 34292-2465