NPI 1952021891
Physical Evidence Regen, LLC
Practice location
- Address
- 7035 Beracasa Way STE 103, Boca Raton, FL 33433-3454
- Phone
- (561) 674-1217
- Fax
- (561) 287-6556
Authorised official
- Name
- David Lipman
- Title
- Mgr
- Phone
- (561) 674-1217
Registered specialties
Integrative Medicine Physician
Primary
Registry record
- NPI
- 1952021891
- Entity type
- Organization
- NPI issued
- 31 Aug 2022
- Record last updated
- 31 Aug 2022
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.