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