Anti-Aging Medical Center

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9267806 Issued in FL

Legal business name

ANTI-AGING MEDICAL CENTER

Doing business as

Restorative Medical Center

Practice address

3545 Bobcat Village Center Rd
North Port, FL 34288-8977

Phone

(941) 625-0304

NPI assigned

Jun 22, 2012

Last updated

Jun 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christina M Parker, ARNPNPI 1235426719

Title

Owner/Arnp

Phone

(316) 207-3406

Specialties & licenses 1

Addresses

Other names 1

• Restorative Medical Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christina M Parker, ARNP

  • Family Nurse Practitioner
  • Port Charlotte, FL
  • NPI 1235426719
  Authorized official Same address or phone

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1265795207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 BOBCAT VILLAGE CENTER RD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888977",
            "telephone_number": "941-625-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 BOBCAT VILLAGE CENTER RD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888977",
            "telephone_number": "941-625-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTI-AGING MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ARNP",
        "authorized_official_telephone_number": "316-207-3406",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9267806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restorative Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Amodio
• Maryum Anderson
• Jenneth Angeles
• Ann Kwok, DMD, PLLC
• Alyssa H Ansaldi
• Lee N Anton, MD
• Alberto Ricardo Arias, M.D.
• Catherine Arnold
• Jennefer Artiga Rodriguez
• Stefanie Ascher, DC

• Family Nurse Practitioner in North Port, FL
• Providers in North Port, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.