Restora Medical

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RESTORA MEDICAL

Practice address

1515 Park Center Dr Unit J
Orlando, FL 32835-5794

Phone

(321) 662-1649

NPI assigned

Jan 26, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Crystal Jennifer Watson

Title

Office Manager

Phone

(321) 662-1649

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harold W Watson Jr., M.D.

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1790170454
  NPD

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1255193124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 PARK CENTER DR UNIT J",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355794",
            "telephone_number": "321-662-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PARK CENTER DR UNIT J",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355794",
            "telephone_number": "321-662-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORA MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-662-1649",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PECOS",
            "identifier": "1790170454",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Don S Respler, MD
• Response DX, LLC.
• Rest Counseling & Consulting
• Elissa Resto
• Restora Clinical PLLC
• Restorative Care Counseling
• Restore Life Services, LLC
• Restore Therapy Services of Florida LLC
• Restore Vitta Group LLC
• Juan Camilo Restrepo Cardenas, MD

• Internal Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.