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NPI Code Detail

MEDICARE: RESTORATION MINISTRIES, INC.

MEDICARE: RESTORATION MINISTRIES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1962950352
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESTORATION MINISTRIES, INC.
Provider Business Mailing Address
First Line : PO BOX 2375
Second Line :
City : FORT PIERCE
State : FL
Zip : 34954-2375
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 609 N 7TH ST
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-3109
Country : US
Telephone Number : 954-746-8232
Fax Number :
Authorized Official
Title or Position : OWNER
Name : FRANCES WATSON
Credential :
Telephone Number : 772-468-7900
Provider Enumeration Date : 09/14/2016
Last Update Date : 09/14/2016

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Directions to “RESTORATION MINISTRIES, INC. ” Practice Location

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