Organization
RESTORE SPINE LLC
Active
Organization
RESTORE SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HAWK CRONIN DO (MANAGING MEMBER)
(480) 776-4660
Entity
Organization
Contact information
Practice address
165 N BABCOCK ST, MELBOURNE, FL 32935-6714
(321) 462-3330
Mailing address
PO BOX 66657, SEATTLE, WA 98166-0657
(480) 776-4660
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
05/30/2020
Last updated
10/04/2024
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