Age Rejuvenation – Family Medicine Physician, NPI 1801603717

Age Rejuvenation is a healthcare provider. based in Tampa, Florida. specializing in Family Medicine Physician. The NPI Number for Age Rejuvenation is 1801603717

Main info

Organization
Name
Age Rejuvenation
NPI
1801603717
Phone
Not provided
Address
2409 N FALKENBURG RD
Authorized Official
YAZMYNE MIRANDA COO
Enumeration Date
13 December 2024
Last Update Date
20 January 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness80
Years active:1State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Age Rejuvenation

  • 2409 N FALKENBURG RD

    TAMPA, FL 336190915

    Phone:

    Type: Mailing

  • 125 N ORLANDO AVE STE 115

    WINTER PARK, FL 327893605

    Phone: (407) 565-5929

    Type: Location

  • 12615 Race Track Rd

    Westchase, FL 336261331

    Phone: (813) 749-7550

    Type: Location

  • 5730 Hamlin Groves Trl Ste 176

    Winter Garden, FL 347875792

    Phone: (407) 564-1035

    Type: Location

  • 220 N Howard Ave

    Tampa, FL 336061529

    Phone: (813) 254-6141

    Type: Location

  • 1155 Nikki View Dr

    Brandon, FL 335114879

    Phone: (813) 681-8624

    Type: Location

  • 1940 Bruce B Downs Blvd

    Wesley Chapel, FL 335449262

    Phone: (813) 575-5577

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 33619)

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Reviews

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Frequently asked questions

What federal number belongs to Age Rejuvenation?
The federal identifier for Age Rejuvenation is NPI 1801603717.
Is Age Rejuvenation currently active in the NPI registry?
CMS-published data lists Age Rejuvenation as an active registrant.
Does Age Rejuvenation list a primary specialty?
If you are matching referrals, note Family Medicine Physician for Age Rejuvenation. Clinical services aligned with this taxonomy classification.
What location shows for Age Rejuvenation?
We surface Tampa, Florida for Age Rejuvenation based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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