OrganizationActive
Anti-Aging Medical Center
NPI 1265795207 · Family Nurse Practitioner · North Port, FL
Provider details
- NPI number
- 1265795207
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Christina Parker, Owner/Arnp(316) 207-3406
- License
- 9267806 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3545 Bobcat Village Center Rd
North Port, FL 34288-8977
Phone: (941) 625-0304
Street-level locationGet directions
Mailing address
3545 Bobcat Village Center Rd
North Port, FL 34288-8977
Other names (DBA / former)
- Doing business as
- Restorative Medical Center
Registry dates
- Enumerated
- 2012-06-22
- Last updated
- 2012-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.