Provider Demographics
NPI:1033762869
Name:NEW REGENERATION ORTHOPEDICS OF FLORIDA, PLLC.
Entity Type:Organization
Organization Name:NEW REGENERATION ORTHOPEDICS OF FLORIDA, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:LEIBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-357-1773
Mailing Address - Street 1:2401 UNIVERSITY PKWY STE 104
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-2894
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2401 UNIVERSITY PKWY STE 104
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2894
Practice Address - Country:US
Practice Address - Phone:941-357-1773
Practice Address - Fax:941-256-7452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-21
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies