| NPI | 1932808904 |
|---|---|
| Doing Business As | THE RESTORATION PLACE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRISTELLE FAITH RENTA Nurse Practitioner 407-587-6406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-02-28 |