Anti-Aging Medical Center

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9267806 Issued in FL

Legal business name

ANTI-AGING MEDICAL CENTER

Practice address

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

Phone

(941) 625-0304

NPI assigned

Jun 22, 2012

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, ARNP

Title

Owner/Arnp

Phone

(316) 207-3406

Specialties & licenses 1

Addresses

Other names 1

• Restorative Medical Center Doing business as

Locations

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.