Organization
RESTORATIVE BIOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MCTAMMANY MD (OWNER)
(321) 626-0125
Entity
Organization
Contact information
Practice address
1315 VALENTINE ST, MELBOURNE, FL 32901-3127
(321) 626-0125
Mailing address
1315 VALENTINE ST, MELBOURNE, FL 32901-3127
(321) 626-0125
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2021
Last updated
02/13/2021
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