RESTORA MEDICAL
NPI 1255193124
Internal Medicine in Orlando, FL

Active since January 26, 2024CLIA 10D2297868 · Waiver
1515 PARK CENTER DR UNIT J, ORLANDO, FL 32835(321) 662-1649 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Restora Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESTORA MEDICAL (NPI 1255193124) is a healthcare organization registered as an internal medicine in Orlando, Florida and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Crystal Jennifer Watson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1255193124
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRESTORA MEDICAL
Location Address1515 PARK CENTER DR UNIT JOrlando, FL 32835-5794
Mailing Address1515 Park Center Dr Unit JOrlando, FL 32835-5794 · (321) 662-1649
Organization SubpartNo
Authorized OfficialCrystal Jennifer WatsonOffice Manager · (321) 662-1649
Enumeration DateJanuary 26, 2024
NPPES CertifiedJanuary 26, 2024
NPI 1255193124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1515 PARK CENTER DR UNIT J, Orlando, FL 32835

Other Identifiers 1

Other1790170454FL · Pecos

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2297868

Restora Medical Corp · Orlando, FL
Active · expires Jan 23, 2028
CLIA Number10D2297868
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorHarold Watson
Laboratory Phone(321) 662-1649
Laboratory LocationRestora Medical Corp1515 Park Center Dr Unit J, Orlando, FL 32835
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Restora Medical's NPI number?

The NPI number for Restora Medical is 1255193124. It was assigned to this organization in the NPPES registry on January 26, 2024.

Where is Restora Medical located?

Restora Medical is located at 1515 Park Center Dr Unit J, Orlando, FL 32835. The listed phone number is (321) 662-1649.

What is Restora Medical's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Restora Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2297868) is associated with this NPI, valid through January 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Restora Medical was last updated on January 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.