RESTORATIVE MEDICAL CENTER
NPI 1265795207
Nurse Practitioner - Family in North Port, FL

Active since June 22, 2012CLIA 10D2064947 · Waiver
3545 BOBCAT VILLAGE CENTER RD, NORTH PORT, FL 34288(941) 625-0304 Get Directions Write a Review

NPPES record last updated: June 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Restorative Medical Center NPPES

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

RESTORATIVE MEDICAL CENTER (NPI 1265795207) is a healthcare organization registered as a family in North Port, Florida and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Christina M Parker, Owner/arnp, as its authorized official.

NPPES Registry Identity

NPI1265795207
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameANTI-AGING MEDICAL CENTER
Location Address3545 BOBCAT VILLAGE CENTER RDNorth Port, FL 34288-8977
Mailing Address3545 Bobcat Village Center RdNorth Port, FL 34288-8977 · (941) 625-0304
Organization SubpartNo
Authorized OfficialChristina M ParkerOwner/arnp · (316) 207-3406
Enumeration DateJune 22, 2012
NPI 1265795207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · 9267806
3545 BOBCAT VILLAGE CENTER RD, North Port, FL 34288

Other Names 1

Doing Business AsRestorative Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 10D2064947

Restorative Medical Center PLLC · Venice, FL
Active · expires Aug 28, 2027
CLIA Number10D2064947
Laboratory TypePractitioner Other
Certificate Effective DateAugust 29, 2025
Certificate Expiration DateAugust 28, 2027
Laboratory DirectorChristina M. Parker
Laboratory Phone(941) 625-0304
Laboratory LocationRestorative Medical Center PLLC706 The Rialto, Venice, FL 34285
CLIA data matches this NPI record on: 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 Anti-Aging Medical Center's NPI number?

The NPI number for Anti-Aging Medical Center is 1265795207. It was assigned to this organization in the NPPES registry on June 22, 2012. The provider is doing business as Restorative Medical Center.

Where is Anti-Aging Medical Center located?

Anti-Aging Medical Center is located at 3545 Bobcat Village Center Rd, North Port, FL 34288. The listed phone number is (941) 625-0304.

What is Anti-Aging Medical Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Anti-Aging Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2064947) is associated with this NPI, valid through August 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anti-Aging Medical Center was last updated on June 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.