Restore Health and Wellness PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME119800 Issued in FL

Legal business name

RESTORE HEALTH AND WELLNESS PLLC

Practice address

360 El Greco Dr
Osprey, FL 34229-9633

Phone

(615) 517-2162

Fax

(855) 422-2581

NPI assigned

Jun 8, 2016

Organization subpart

No

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

Authorized official

Name

Lindsey T Job, MD

Title

MD / Owner

Phone

(615) 517-2162

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Restore Health Doing business as

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1285083428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 EL GRECO DR",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299633",
            "telephone_number": "615-517-2162",
            "fax_number": "855-422-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 EL GRECO DR",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299633",
            "telephone_number": "615-517-2162",
            "fax_number": "855-422-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "JOB",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MD / OWNER",
        "authorized_official_telephone_number": "615-517-2162",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME119800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME119800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Neurological Surgery Physician in Osprey, FL
• Providers in Osprey, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.