Organization Active NPI

Florida Restorative Medicine

  • Internal Medicine Physician
  • Stuart, FL
National Provider Identifier
1184097917
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FLORIDA RESTORATIVE MEDICINE
Practice address
509 SE Central Pkwy
Stuart, FL 34994-3992
Phone
(772) 266-4727
NPI assigned
Nov 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Ms. Kathryn Brandt, MPH
Title
Member
Phone
(772) 266-4727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X FL Primary

Addresses

Primary practice location

509 SE Central Pkwy
Stuart, FL 34994-3992

Mailing address

509 SE Central Pkwy
Stuart, FL 34994-3992

National Provider Directory

National Provider Directory

Locations

509 SE Central Pkwy
Stuart, FL 34994
Phone (772) 221-0016

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1184097917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SE CENTRAL PKWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SE CENTRAL PKWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943992",
            "telephone_number": "772-266-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA RESTORATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "772-266-4727",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.