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10D2297868 CLIA NUMBER - RESTORA MEDICAL CORP

Laboratory Demographics

CLIA Number: 10D2297868

Facility Name: RESTORA MEDICAL CORP

Facility Address:
1515 PARK CENTER DR UNIT J
ORLANDO, FL
ZIP 32835
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Facility Phone Number: 321 662-1649

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1255193124

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 10D2297868
LAB Type Physician Office
Facility Name RESTORA MEDICAL CORP
Street 1515 PARK CENTER DR UNIT J
City ORLANDO
State FL
ZIP 32835
Phone 321 662-1649
CertificateType 4
CertificateEffectiveDate 1/24/2024
CertificateExpirationDate 1/23/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024