Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Rejuva Dermatology & Vein Center, LLC

Organization Dermatology Physician · NPI 1316522691

Rejuva Dermatology & Vein Center, LLC provides Dermatology Physician services in Venice, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

395 Commercial Ct Ste C
Venice, FL 34292-1651
Phone: (941) 529-0070
Fax: (941) 529-0539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Internal Medicine Physician Taxonomy 207R00000X
Phlebology Physician Taxonomy 202K00000X

Record details

NPI number1316522691
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Golta Rasouli — Co-Presendent · (941) 529-0070
Other names Dermatology Associates
NPI enumeratedMarch 17, 2021
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 29, 2026
Mailing address2389 E Venice Ave Unit 510, Venice, FL 34292-2465

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