# RESTORATIVE BIOTHERAPY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922691674
- **Authorized official:** DR. MARK MCTAMMANY MD (OWNER)
- **Authorized official phone:** (321) 626-0125

## Contact information

- **Practice address:** 1315 VALENTINE ST, MELBOURNE, FL 32901-3127
- **Practice address phone:** (321) 626-0125
- **Mailing address:** 1315 VALENTINE ST, MELBOURNE, FL 32901-3127
- **Mailing address phone:** (321) 626-0125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2021
- **Last updated:** 02/13/2021