De-Senesce Llc

Specialty details in registry · Jacksonville Beach, FL

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At a glance

1361 13Th Ave S, Jacksonville Beach, FL 32250-3233

NPPES record updated Sep 13, 2024. Public records can lag behind changes at a practice.

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Practice location

1361 13Th Ave S
Jacksonville Beach, FL 32250-3233
Professional details: NPI, taxonomy & registry record
NPI1356177448
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
202D00000X
Enumeration date
Sep 13, 2024
Record updated
Sep 13, 2024
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

202D00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1361 13Th Ave S
Jacksonville Beach, FL 32250-3233
Phone
(904) 580-0207
Mailing address
1361 13TH AVE S STE 170

JACKSONVILLE BEACH, FL 322503235
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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