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LIFERESTORE MD USA NC1 LLC
NPI 1417530593
Clinic/Center - Multi-Specialty in Wilmington, NC

Active since May 05, 2021
1427 MILITARY CUTOFF RD STE 140, WILMINGTON, NC 28403(214) 494-8121 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Liferestore Md Usa Nc1 Llc NPPES

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

LIFERESTORE MD USA NC1 LLC (NPI 1417530593), doing business as Restoredoc Md, is a healthcare organization registered as a multi-specialty in Wilmington, North Carolina and active in the NPI registry since May 2021. The organization lists Bob Olovsson, Coo, as its authorized official.

NPPES Registry Identity

NPI1417530593
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameLIFERESTORE MD USA NC1 LLC
Location Address1427 MILITARY CUTOFF RD STE 140Wilmington, NC 28403-3692
Mailing Address3910 Gaston Ave Ste 140Dallas, TX 75246-1523 · (214) 494-8121
Phone(214) 494-8121
Organization SubpartNo
Authorized OfficialBob OlovssonCoo · (214) 494-8121
Enumeration DateMay 5, 2021
NPPES CertifiedMay 4, 2021
✔ NPI 1417530593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1427 MILITARY CUTOFF RD STE 140, Wilmington, NC 28403
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Other Names 2

Doing Business AsRestoredoc Md
Doing Business AsLiferestore Md Usa Llc

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 Liferestore MD Usa Nc1 LLC's NPI number?

The NPI number for Liferestore MD Usa Nc1 LLC is 1417530593. It was assigned to this organization in the NPPES registry on May 5, 2021. The provider is doing business as RestoreDOC MD and liferestore md usa llc.

Where is Liferestore MD Usa Nc1 LLC located?

Liferestore MD Usa Nc1 LLC is located at 1427 Military Cutoff Rd Ste 140, Wilmington, NC 28403. The listed phone number is (214) 494-8121.

What is Liferestore MD Usa Nc1 LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Liferestore MD Usa Nc1 LLC was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.