Provider Demographics
NPI:1457010654
Name:REJUVE HEALTH PLUS, LLC
Entity Type:Organization
Organization Name:REJUVE HEALTH PLUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:JOANN
Authorized Official - Last Name:VIANO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:727-612-0705
Mailing Address - Street 1:1838 WILMAR AVE
Mailing Address - Street 2:
Mailing Address - City:TARPON SPGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-5751
Mailing Address - Country:US
Mailing Address - Phone:727-612-0705
Mailing Address - Fax:
Practice Address - Street 1:3144 TAMPA RD STE 1
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-2290
Practice Address - Country:US
Practice Address - Phone:727-612-0705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0121XNursing Service ProvidersRegistered NursePlastic SurgeryGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Multi-Specialty
No163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Multi-Specialty
No163WN1003XNursing Service ProvidersRegistered NurseNutrition SupportGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty