RESTORE SPINE LLC
NPI 1952925547
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Melbourne, FL

Active since May 30, 2020CLIA 10D2312320 · Waiver
165 N BABCOCK ST, MELBOURNE, FL 32935(321) 462-3330 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2024, May 30, 2020 (2 updates tracked since 2020).

About Restore Spine Llc NPPES

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

RESTORE SPINE LLC (NPI 1952925547) is a healthcare organization registered as an orthopaedic surgery of the spine in Melbourne, Florida and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through October 8, 2026, maintains a secondary practice location in Miami, and lists Michael Hawk Cronin, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1952925547
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameRESTORE SPINE LLC
Location Address165 N BABCOCK STMelbourne, FL 32935-6714
Mailing AddressPo Box 66657Seattle, WA 98166-0657 · (480) 776-4660
Organization SubpartNo
Authorized OfficialMichael Hawk CroninManaging Member · (480) 776-4660
Enumeration DateMay 30, 2020
Last NPPES UpdateOctober 4, 20242 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
NPI 1952925547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
165 N BABCOCK ST, Melbourne, FL 32935

Secondary Practice Location 1

Location 16790 N Waterway DrMiami, FL 33155-3855 · Phone (480) 776-4660

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

Accepted Insurance

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 10D2312320

Restore Spine LLC · Melbourne, FL
Active · expires Oct 8, 2026
CLIA Number10D2312320
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorMichael H. Cronin
Laboratory Phone(321) 462-3330
Laboratory LocationRestore Spine LLC165 N Babcock Street, Melbourne, FL 32935
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
165 N BABCOCK ST
MELBOURNE, FL 32935

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 Restore Spine LLC's NPI number?

The NPI number for Restore Spine LLC is 1952925547. It was assigned to this organization in the NPPES registry on May 30, 2020.

Where is Restore Spine LLC located?

Restore Spine LLC is located at 165 N Babcock St, Melbourne, FL 32935. The listed phone number is (321) 462-3330.

What is Restore Spine LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Does Restore Spine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2312320) is associated with this NPI, valid through October 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Restore Spine LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Restore Spine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Restore Spine LLC was last updated on October 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.