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
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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