RESTORE HEALTH MANAGEMENT LLC (NPI# 1609240779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609240779 |
| Entity Type | Organization |
| Organization Name | RESTORE HEALTH MANAGEMENT LLC |
| Other Organization Name | RESTORE HEALTH URGENT CARE |
| Practice Address |
1840 Eldron Blvd Se Suite 1 Palm Bay FL 32909-6871 |
| Practice Telephone | 3213124580 |
| Practice Fax Number | 3219144053 |
| Mailing Telephone | 3213124580 |
| Mailing Fax Number | 3219144053 |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | MICHAEL HUSTED (CLINIC MANAGER) |
| Authorized Official Telephone | 3213124580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Restore Health Urgent Care | Other Name - Individual/Organization |
| Street Address |
1840 ELDRON BLVD SE SUITE 1 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32909-6871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447349 | Sarah Nicosia | Registered Nurse | 2752 Palisades Dr, Palm Bay, FL 32909 | 2020-08-12 |
| 1447881297 | Shangri-la of Palm Bay Alf, LLC | Assisted Living Facility | 3604 Jupiter Blvd. Se, Palm Bay, FL 32909 | 2020-01-30 |
| 1972094357 | Mindful Counseling and Wellness LLC | Social Worker | 221 Devlin Ct Se, Palm Bay, FL 32909 | 2018-05-22 |
| 1306348859 | Mallory Kathleen Herndon | Behavior Technician | 458 Barcelona Rd, Palm Bay, FL 32909 | 2018-03-01 |
| 1548786627 | Chotsani Merrill | Home Health Aide | 781 Davenport St Se, Palm Bay, FL 32909 | 2017-08-21 |
| 1639629538 | Maggie Cameron | Clinic/Center | 2511 Quentin Ave Ne, Palm Bay, FL 32909 | 2016-10-04 |
| 1194195016 | Dawn Goodwin | Pharmacist | 3450 Bayside Lakes Shopping Center, Palm Bay, FL 32909 | 2015-10-05 |
| 1124407796 | Jorge Ortiz | Physical Therapist | 470 Malabar Rd Se, Ste 102, Palm Bay, FL 32909 | 2015-05-28 |
| 1932506227 | Annalisa Tietjen I | Dental Hygienist | 714 Ave C, Fort Pierce, FL 32909 | 2014-12-02 |
| 1194147611 | Carl Glenmore Morrison Sr. | General Practice | 2125 Windbrook Drive, Palm Bay, FL 32909 | 2014-01-17 |
| Find all providers in zip 32909 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679742787 | Medical Technology Transfer Corporation | Clinic/Center | 590 Malabar Rd Se, Suite 7, Palm Bay, FL 32907-3108 | 2008-02-22 |
| 1366710170 | Medfast Urgent Care Centers, LLC | Clinic/Center | 490 Centre Lake Dr Ne, Palm Bay, FL 32907-1113 | 2011-12-07 |
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| 1619575529 | Medec Urgent Care Pllc | Clinic/Center | 600 Garden St, Titusville, FL 32796-3489 | 2020-10-13 |
| 1144835182 | Adventist Health System/sunbelt, Inc | Clinic/Center | 11826 State Road 54, Odessa, FL 33556-3496 | 2020-09-15 |
| 1528671096 | Crucialist LLC | Clinic/Center | 4230 Pablo Professional Ct Ste 103, Jacksonville, FL 32224-3223 | 2020-08-25 |
| 1194334961 | Md Now Medical Centers Inc | Clinic/Center | 4332 Cortez Rd W, Bradenton, FL 34210-3139 | 2020-07-28 |
| 1558970327 | Md Now Medical Centers Inc | Clinic/Center | 15165 Mcgregor Blvd, Fort Myers, FL 33908-1957 | 2020-07-28 |
| 1386253151 | Md Now Medical Centers Inc | Clinic/Center | 12748 S Cleveland Ave, Fort Myers, FL 33907-3823 | 2020-07-28 |
| 1821607698 | Md Now Medical Centers Inc | Clinic/Center | 2609 Santa Barbara Blvd, Cape Coral, FL 33914-4457 | 2020-07-28 |
| 1366051435 | Md Now Medical Centers Inc | Clinic/Center | 9690 Glades Rd Unit 425, Boca Raton, FL 33434-3978 | 2020-07-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.