Restoration Medicine LLC
NPI #1386975415 in Merritt Island, Florida
Provider Information
- NPI Number
- 1386975415
- Entity Type
- Organization
- Organization Name
- Restoration Medicine LLC
- Primary Specialty
- Obstetrics & Gynecology - Gynecology
- Enumeration Date
- Jan 29, 2010
- Last Updated
- Apr 11, 2011
Practice Location
- Address
- 190 S SYKES CREEK PKWY
- Address 2
- SUITE #3
- City
- Merritt Island
- State
- Florida
- ZIP Code
- 32952-3572
- Phone
- (321) 305-6254
Authorized Official
- Name
- DR. LANCE ANDRE MAKI, M.D.
- Title
- PRESIDENT
- Phone
- (321) 305-6254
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Gynecology — Gynecology |
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| DR. Sally Harris Sange, M.D. | |
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| DR. Thom L. Tyler,, MD, P.A. | |
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