Provider Demographics
NPI:1396568010
Name:REJUV HEALTH PLLC
Entity type:Organization
Organization Name:REJUV HEALTH PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DRURY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-395-4411
Mailing Address - Street 1:13555 KILTIE CT
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-3624
Mailing Address - Country:US
Mailing Address - Phone:305-395-4411
Mailing Address - Fax:305-614-0530
Practice Address - Street 1:7383 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33073-4527
Practice Address - Country:US
Practice Address - Phone:305-395-4411
Practice Address - Fax:305-614-0530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-01
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty