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General NPI Number Information
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NPI Number | 1174401988
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Entity Type | Organization
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Legal Business Name | REGENX HEALTH LLC
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 4181 SW HIGH MEADOWS AVE
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City | PALM CITY
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State | FL
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Zip | 34990-3725
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Country | US
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Telephone | 772-579-9397
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Fax | 772-872-3303
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Provider Business Mailing Address
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Address Line | 4181 SW HIGH MEADOWS AVE
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City | PALM CITY
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State | FL
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Zip | 34990-3725
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Country | US
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Telephone | 772-579-9397
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Fax | 772-872-3303
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW LEACH
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Credential |
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Telephone | 772-337-2748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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