Nutritionist

AGE REJUVENATION MEDICAL, P.A.

Public NPPES listing with taxonomy: Family Medicine.

Resource details

Medicare status: Confirm directly

Unknown from NPPES

Source: NPPES NPI Registry

NPI: 1801603717

Taxonomy: Family Medicine (207Q00000X)

Source confidence: 68%

Medicare assignment: Unknown from NPPES

Address: 220 N HOWARD AVE, TAMPA, FL, 336061529

Phone: 813-254-6141

Last verified: May 13, 2026