NPI 1316522691

Rejuva Dermatology & Vein Center, PLLC

Organisation Dermatology Physician Venice, FL

Practice location

Address: 395 Commercial CT STE C, Venice, FL 34292-1651
Phone: (941) 529-0070
Fax: (941) 529-0539
Mailing address: 2389 E Venice Ave Unit 510, Venice, FL 34292-2465

Authorised official

Name: Golta Rasouli
Title: Co-Presendent
Phone: (941) 529-0070

Registered specialties (4)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Florida →

Phlebology Physician

Allopathic & Osteopathic Physicians Taxonomy 202K00000X

Other Phlebology providers in Florida →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Florida →

Registry record

NPI: 1316522691
Entity type: Organization
NPI issued: 17 Mar 2021
Record last updated: 22 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.