RESTORE SPINE LLC NPI 1952925547

NPI Information

  • NPI: 1952925547
  • Provider Name: RESTORE SPINE LLC
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Organization
  • CLIA Number: 10D2312320
  • Address: 165 N BABCOCK ST
    MELBOURNE, FL
    ZIP 32935
  • Phone: (321) 462-3330

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NPI Details

RESTORE SPINE LLC is an orthopaedic surgery of the spine orthopaedic surgery in Melbourne, FL. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. RESTORE SPINE LLC NPI is 1952925547. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

165 N BABCOCK ST
MELBOURNE, FL
ZIP 32935-714
Phone: (321) 462-3330

The provider's authorized official is Michael Hawk Cronin .
The authorized official title is Managing Member and has the following contact phone number (480) 776-4660.

The CLIA number assigned to this NPI record is 10D2312320 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2020 and was last updated on 10/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes

What is NPI?

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This page was last updated on: 11/21/2025

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