RESTORA MEDICAL – NPI #1255193124
Internal Medicine

RESTORA MEDICAL is a provider located in ORLANDO, FL. NPPES recently assigned the NPI number 1255193124 to RESTORA MEDICAL on January 26, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RESTORA MEDICAL below.

NPI Profile for
RESTORA MEDICAL

NPI Number
1255193124
Created

(about a month ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RESTORA MEDICAL
Primary location
1515 PARK CENTER DR UNIT J
ORLANDO, FL 32835-5794
Phone: (321) 662-1649 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CRYSTAL WATSON
OFFICE MANAGER
Phone: (321) 662-1649
Updated
Certification Date
Jan 26, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for RESTORA MEDICAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherPECOSFL1790170454
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.