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Organization
RESTORATIVE HEALTH AND HEALING CENTER LLC
Active
Organization
RESTORATIVE HEALTH AND HEALING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK D. SIEVERS (PRACTICE MANAGER)
(314) 239-0173
Entity
Organization
Contact information
Practice address
10201 ARCOS AVE STE 201, ESTERO, FL 33928-9461
(314) 239-0173
(239) 948-0179
Mailing address
10201 ARCOS AVE STE 201, ESTERO, FL 33928-9461
(314) 239-0173
(239) 948-0179
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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