| Restore U Inc. | |
|
3005 Lithia Pinecrest Rd Valrico FL 33596-5630 | |
| (813) 495-6702 | |
| (813) 425-5739 |
| Full Name | Restore U Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3005 Lithia Pinecrest Rd, Valrico, Florida |
| Authorized Official Name and Position | Islaine St.vil (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8134956702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore U Inc. 3005 Lithia Pinecrest Rd Valrico FL 33596-5630 Ph: (813) 495-6702 | Restore U Inc. 3005 Lithia Pinecrest Rd Valrico FL 33596-5630 Ph: (813) 495-6702 |
| NPI Number | 1639615537 |
|---|---|
| Provider Enumeration Date | 01/16/2017 |
| Last Update Date | 01/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639615537 | NPI | - | NPPES |
| 017869000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW 13121 (Florida) | Primary |
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