Renew and Restore Medical

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

OS12833 Issued in FL

Legal business name

RENEW AND RESTORE MEDICAL

Practice address

4308 Alton Rd Ste 710
Miami Beach, FL 33140-4557

Phone

(305) 695-7777

Fax

(305) 695-7707

NPI assigned

Jun 27, 2016

Last updated

Jun 27, 2016By 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

Jeff Baker, DO

Title

Medical Director

Phone

(305) 695-7777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1932550480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD STE 710",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404557",
            "telephone_number": "305-695-7777",
            "fax_number": "305-695-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD STE 710",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404557",
            "telephone_number": "305-695-7777",
            "fax_number": "305-695-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW AND RESTORE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-695-7777",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "OS12833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Recine, MD
• Bethaney Reed Vejdani, PA
• Crystal Rego, D.O
• Norbert Ernst Reich, DO
• Dylan Michelle Reilly
• Lionel Resnick
• Susan A Resnik, LMHC
• Allen Arthur Ressler, DDS
• Beatriz Elena Restrepo Ospina, MD
• Revival Health & Wellness LLC

• Sports Medicine (Family Medicine) Physician in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Sports Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.