Anti-Aging, Regeneration and Pain Center – Interventional Pain Medicine Physician, NPI 1336687391

Anti-Aging, Regeneration and Pain Center is a healthcare provider. based in Orange city, Florida. specializing in Interventional Pain Medicine Physician. The organization holds a License No. ME123086 (FL). The NPI Number for Anti-Aging, Regeneration and Pain Center is 1336687391

Main info

Organization
Name
Anti-Aging, Regeneration and Pain Center
NPI
1336687391
Phone
(386) 774-0109
Address
2728 Enterprise Rd
Authorized Official
DR. GEORGE TATAW BESONG PRESIDENT & CEO M.D
Enumeration Date
9 February 2017
Last Update Date
9 January 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness80
Years active:9State licenses:2Digital endpointsUpdated within 12 months

Provider Addresses for Anti-Aging, Regeneration and Pain Center

  • 2728 Enterprise Rd

    Suite 200

    Orange City, FL 327638276

    Phone: (386) 774-0109

    Type: Location

  • 2111 HONTOON RD

    DELAND, FL 327204308

    Phone: (386) 747-9771

    Type: Mailing

  • Orange City, Volusia County, Florida, 32763, United States

    ORANGE CITY, FL 327632833

    Phone: (386) 774-0109

    Fax: (386) 774-1203

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32763)

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Frequently asked questions

What is the standard ID for Anti-Aging, Regeneration and Pain Center in the U.S.?
In the U.S., Anti-Aging, Regeneration and Pain Center is identified by NPI 1336687391.
Quick check: is Anti-Aging, Regeneration and Pain Center active?
Public NPPES data shows Anti-Aging, Regeneration and Pain Center with an active NPI status right now.
What services align with Anti-Aging, Regeneration and Pain Center's listing?
Anti-Aging, Regeneration and Pain Center's public classification highlights Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Anti-Aging, Regeneration and Pain Center?
Anti-Aging, Regeneration and Pain Center is associated with Orange City, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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