Restorative Neurology and Headache Center LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

RESTORATIVE NEUROLOGY AND HEADACHE CENTER LLC

Practice address

7730 Boynton Beach Blvd Ste 4
Boynton Beach, FL 33437-6155

Phone

(813) 482-5515

Fax

(813) 537-8782

NPI assigned

Mar 17, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nina Tsakadze, MD

Title

Provider

Phone

(813) 482-5515

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1003518838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20350 COZUMEL CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986712",
            "telephone_number": "813-482-5515",
            "fax_number": "813-537-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 BOYNTON BEACH BLVD STE 4",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376155",
            "telephone_number": "813-482-5515",
            "fax_number": "813-537-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE NEUROLOGY AND HEADACHE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "TSAKADZE",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "813-482-5515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marieann Remy, RN
• Otsheel Rene
• Fernando Rennella, M.D.
• Alexis Rafael Renta, M.D.
• Restorartion Health Center
• Restorative Therapy for Wellness
• Revamed Healthcare Partners LLC
• Revolution Recovery Center, Inc.
• Claudia Rexach, PSYD, LMHC
• Dennys Reyes Candedo, M.D.

• Neurology Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.