Provider Demographics
NPI:1467818757
Name:RINNOVO LLC
Entity Type:Organization
Organization Name:RINNOVO LLC
Other - Org Name:RINNOVO HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:205-383-4590
Mailing Address - Street 1:3940 MONTCLAIR RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35213-2427
Mailing Address - Country:US
Mailing Address - Phone:205-383-4590
Mailing Address - Fax:205-383-4573
Practice Address - Street 1:3940 MONTCLAIR RD
Practice Address - Street 2:SUITE 200
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35213-2427
Practice Address - Country:US
Practice Address - Phone:205-383-4590
Practice Address - Fax:205-383-4573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-03
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO880207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Single Specialty