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 |