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Organization
RESTORE MEDICAL PARTNERS, PLLC
Active
Organization
RESTORE MEDICAL PARTNERS, PLLC
Active
Other names
Restore Medical Partners
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY T JOB MD (MEDICAL DIRECTOR)
(615) 517-2162
Entity
Organization
Contact information
Practice address
333 S TAMIAMI TRL, SUITE 169/171, VENICE, FL 34285-2402
(941) 375-3006
(941) 218-4825
Mailing address
333 S. TAMIAMI TRL, SUITE 169/171, VENICE, FL 34285-2402
(941) 375-3006
(941) 218-4825
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME 119800
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME 119800
FL
208VP0000X
Pain Medicine Physician
FJ2955740
FL
208VP0014X
Interventional Pain Medicine Physician
ME 119800
FL
Other
Enumeration date
07/20/2016
Last updated
09/08/2016
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