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NPI Code Detail

MEDICARE: RENEW HORMONE THERAPY LLC

MEDICARE: RENEW HORMONE THERAPY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1093505158
Entity Type Code : Organization
Provider Name (Legal Business Name) : RENEW HORMONE THERAPY LLC
Provider Business Mailing Address
First Line : 364 NORTHPOINTE CT UNIT 108
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-5811
Country : US
Telephone Number : 407-686-9611
Fax Number :
Provider Business Practice Location Address
First Line : 8615 COMMODITY CIR STE 17
Second Line :
City : ORLANDO
State : FL
Zip : 32819-9072
Country : US
Telephone Number : 407-686-9611
Fax Number :
Authorized Official
Title or Position : FNP
Name : JHONNY MONTOYA
Credential : FNP
Telephone Number : 407-686-9611
Provider Enumeration Date : 05/10/2025
Last Update Date : 03/01/2026

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Directions to “RENEW HORMONE THERAPY LLC ” Practice Location

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