Provider Demographics
NPI:1457245896
Name:RENOVA BY DESIGN, LLC
Entity type:Organization
Organization Name:RENOVA BY DESIGN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHUYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-972-8114
Mailing Address - Street 1:435 E STATE ROAD 434 STE 500
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-5203
Mailing Address - Country:US
Mailing Address - Phone:321-972-8114
Mailing Address - Fax:
Practice Address - Street 1:107 W BROADWAY ST STE A
Practice Address - Street 2:
Practice Address - City:FORT MEADE
Practice Address - State:FL
Practice Address - Zip Code:33841-3300
Practice Address - Country:US
Practice Address - Phone:407-921-9810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies