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Organization

CHRISTELLE RENTA LLC

Active
Other names
The Restoration Place Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTELLE FAITH RENTA (NURSE PRACTITIONER)
(407) 587-6406
Entity
Organization

Contact information

Practice address
141 TERRA MANGO LOOP STE B, ORLANDO, FL 32835-8510
(407) 730-9027
(760) 313-9592
Mailing address
15535 CITRUS HARVEST RD, WINTER GARDEN, FL 34787-9253
(407) 587-6406
(760) 313-9592

Taxonomy

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

Other

Enumeration date
02/28/2023
Last updated
02/28/2023
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