Organization
RESTORATION MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE ANDRE MAKI M.D. (PRESIDENT)
(321) 305-6254
Entity
Organization
Contact information
Practice address
190 S SYKES CREEK PKWY, SUITE #3, MERRITT ISLAND, FL 32952-3572
(321) 305-6254
(321) 305-5972
Mailing address
190 S SYKES CREEK PKWY, SUITE #3, MERRITT ISLAND, FL 32952-3572
(321) 305-6254
(321) 305-5972
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME92412
FL
Other
Enumeration date
01/29/2010
Last updated
04/11/2011
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