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Rejuva Dermatology & Vein Center, Pllc

Dermatology Physician in Venice, FL · enumerated 2021 · authorized official Golta Rasouli, Co-Presendent.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316522691

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Registry record

Entity type Organization (Type 2)
Legal business name Rejuva Dermatology & Vein Center, Pllc
Other name <Unavail>
Practice address 395 Commercial Ct Ste C, Venice, FL, 34292
Phone (941) 529-0070
Fax (941) 529-0539
Enumeration date Mar 17, 2021
Last updated in NPPES Sep 2, 2025

Taxonomy & classification

202K00000X Phlebology Physician Allopathic & Osteopathic Physicians Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary
207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Golta Rasouli
Title Co-Presendent
Phone (941) 529-0070

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Rejuva Dermatology & Vein Center, Pllc?
Rejuva Dermatology & Vein Center, Pllc is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-02.