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Contact Information

RENEW AND RESTORE MEDICAL
4308 ALTON RD STE 710
MIAMI BEACH, FL33140-4557
 Phone: 305-695-7777
 Fax: 305-695-7707
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RENEW AND RESTORE MEDICAL

NPI # 1932550480
LBN Legal business name RENEW AND RESTORE MEDICAL
Authorized official JEFF BAKER - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/27/2016
Last updated 06/27/2016 - About 10 years ago
Identifiers
FL License # OS12833
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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