REJUVEFACE, LLC (NPI# 1386050854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386050854 |
| Entity Type | Organization |
| Organization Name | REJUVEFACE, LLC |
| Practice Address |
1958 Prospect St Sarasota FL 34239-2217 |
| Practice Telephone | 9414045438 |
| Mailing Telephone | 9414045438 |
| Mailing Fax Number | 9419534600 |
| Enumeration Date | 2014-07-06 |
| Last Update Date | 2018-04-18 |
| Authorized Official Name | DR. MARK A CHECCONE (FACIAL PLASTIC SURGEON) |
| Authorized Official Telephone | 9414045438 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
ME113636 | FL | Allopathic & Osteopathic Physicians |
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
ME113636 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5105 Manatee Ave W, Bradenton, FL 342093715 | 9414045438 |
| Street Address |
1958 PROSPECT ST |
| City | SARASOTA |
| State | FL |
| Zip Code | 34239-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932319829 | Mary I Ortiz | Nurse Practitioner | 1958 Prospect St, Sarasota, FL 34239-2217 | 2007-05-22 |
| 1548463839 | Mark A Checcone | Otolaryngology | 1958 Prospect St, Sarasota, FL 34239-2217 | 2007-06-06 |
| 1396955225 | Pauline Spring Jenkins | Nurse Practitioner | 1958 Prospect St, Sarasota, FL 34239-2217 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203327 | All-in-one Medical Clinic | Chiropractor | 3436 Bee Ridge Road, Sarasota, FL 34239 | 2019-12-26 |
| 1134782295 | Kafayat Adebukola Busari | Student in an Organized Health Care Education/Training Program | Florida State University/ Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota, FL 34239 | 2019-04-15 |
| 1235600495 | Karen Andrea Gonzalez | Speech-Language Pathologist | 1524 East Ave South, Sarasota, FL 34239 | 2018-12-16 |
| 1659852101 | Tori Alexandra Phelps | Behavioral Analyst | 2324 Prospect Street, Sarasota, FL 34239 | 2018-08-23 |
| 1518450519 | Love To Care4u Homecare | Adult Companion | 3800 Tamiami Trail Ste 105, Sarasota, FL 34239 | 2018-06-13 |
| 1881119691 | Life Awaits Acupuncture | Acupuncturist | 3030 S Tamiami Trail, Sarasota, FL 34239 | 2017-08-14 |
| 1275084600 | Srq Acupuncture & Massage | Acupuncturist | 1810 South Tuttle Ave, Sarasota, FL 34239 | 2016-10-20 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| 1407246093 | Rhett Ethan Bogacz | Chiropractor | 3400 Bee Ridge Rd Ste 100, Sarasota, FL 34239 | 2015-02-03 |
| 1023436136 | Sarah J. Somer | Obstetrics & Gynecology | 1921 Waldemere St Ste 307, Sarasota, FL 34239 | 2014-04-04 |
| Find all providers in zip 34239 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760543193 | Leonard A Rubinstein | Otolaryngology | 1805 Siesta Drive, Sarasota, FL 34239 | 2006-12-12 |
| 1417967449 | Sumeet Bhanot | Otolaryngology | 2038 Bee Ridge Rd, Sarasota, FL 34239-6108 | 2006-08-09 |
| 1124025267 | J. David Holcomb | Otolaryngology | 1 S School Ave, Suite 800, Sarasota, FL 34237-6045 | 2005-07-05 |
| 1831109057 | Florida Ear & Sinus Center Pa | Otolaryngology | 1901 Floyd St, Sarasota, FL 34239-2932 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093228587 | Cosmetic Medicine Enterprises Inc | Otolaryngology | 34156 Us Hwy 19 N, Palm Harbor, FL 34684 | 2017-11-07 |
| 1205362183 | Clifton Bridges | Otolaryngology | 6970 Sunnyside Dr, Leesburg, FL 34748-9556 | 2017-05-11 |
| 1811305568 | Medney Tardy Jr. | Otolaryngology | 651 Jacana Cir, Naples, FL 34105-7400 | 2014-07-25 |
| 1699113605 | Lebeau Clinic Pl | Otolaryngology | 1020 N Palafox St, Pensacola, FL 32501-3118 | 2013-06-12 |
| 1164867644 | Joseph Samuel Moak IIi | Otolaryngology | 1819 Salk Ave, Tavares, FL 32778-4311 | 2013-05-09 |
| 1750661328 | Jesse Andrew Burnam | Otolaryngology | 15647 Carriedale Ln, Fort Myers, FL 33912-3904 | 2011-08-26 |
| 1619276102 | Thomas Lewis Tzikas | Otolaryngology | 526 Se 5th Ave, Delray Beach, FL 33483-5213 | 2011-03-23 |
| 1356595268 | Vijay M Sharma | Otolaryngology | 601 University Blvd Ste 201, Jupiter, FL 33458-2788 | 2008-11-05 |
| 1881846731 | Anthony Bared | Otolaryngology | 6280 Sunset Dr Ste 504, South Miami, FL 33143-4870 | 2008-10-22 |
| 1700034345 | Larry Nelson Smith | Otolaryngology | 10925 Sw 27th Ave, Gainesville, FL 32608-8937 | 2008-09-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.