Organization · Type 2 NPI

Restora Clinical PLLC

Nurse Practitioner · Orlando, FL

NPI number 1184569717 Active

Practice location

13563 Narcoossee Rd Ste 110
Orlando, FL 32832-7138

Mailing address

6441 S Chickasaw Trl, Pmb 324
Orlando, FL 32829-8366

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1184569717

Restora Clinical PLLC's National Provider Identifier is 1184569717, issued on Apr 21, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orlando, FL. The record was last updated on Apr 21, 2026.