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Organization

ANTI-AGING MEDICAL CENTER

Active
Other names
Restorative Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA M PARKER ARNP (OWNER/ARNP)
(316) 207-3406
Entity
Organization

Contact information

Practice address
3545 BOBCAT VILLAGE CENTER RD, NORTH PORT, FL 34288-8977
(941) 625-0304
Mailing address
3545 BOBCAT VILLAGE CENTER RD, NORTH PORT, FL 34288-8977
(941) 625-0304

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9267806
FL

Other

Enumeration date
06/22/2012
Last updated
06/22/2012
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