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Organization
RENEW AND RESTORE MEDICAL
Active
Organization
RENEW AND RESTORE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF BAKER DO (MEDICAL DIRECTOR)
(305) 695-7777
Entity
Organization
Contact information
Practice address
4308 ALTON RD STE 710, MIAMI BEACH, FL 33140-4557
(305) 695-7777
(305) 695-7707
Mailing address
4308 ALTON RD STE 710, MIAMI BEACH, FL 33140-4557
(305) 695-7777
(305) 695-7707
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS12833
FL
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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