RENEWED VITALITY & AGE MANAGEMENT, PLLC


Address: 13141 Eppes Falls Rd, Chesterfield, VA 23838-1261
Phone: 8044128384

RENEWED VITALITY & AGE MANAGEMENT, PLLC (NPI# 1972086247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972086247
Entity Type Organization
Organization Name RENEWED VITALITY & AGE MANAGEMENT, PLLC
Practice Address 13141 Eppes Falls Rd
Chesterfield
VA 23838-1261
Practice Telephone 8044128384
Mailing Telephone 8044128384
Enumeration Date 2018-09-12
Last Update Date 2018-09-12
Authorized Official Name LAWRENCE R PALMITER JR. (OWNER)
Authorized Official Telephone 8044128343
Authorized Official Credential FNP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 13141 EPPES FALLS RD
City CHESTERFIELD
State VA
Zip Code 23838-1261

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1811160914 G Patrick O'donnell M.d. Clinic/Center 15510 Olive Blvd, Suite 115, Chesterfield, MO 63017-0710 2008-04-09
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Competitor

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City CHESTERFIELD
Zip Code 23838

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Dataset Information

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.

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