Organization
REGENERATIVE MEDICINE OF MAINE, LLC
Active
Other names
QC Kinetix
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE LUIS MORA (PRESIDENT)
(786) 247-2169
Entity
Organization
Contact information
Practice address
23 DURHAM RD, SUITE 301, FREEPORT, ME 04032-6796
(207) 389-5009
(207) 209-5089
Mailing address
1461 TAGUS AVE, CORAL GABLES, FL 33156-6405
(786) 247-2169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/30/2025
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