OrganizationActive
Restoration Medicine LLC
NPI 1386975415 · Gynecology Physician · Merritt Island, FL
Provider details
- NPI number
- 1386975415
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lance Maki, President(321) 305-6254
- License
- ME92412 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
190 S Sykes Creek Pkwy
Suite #3
Merritt Island, FL 32952-3572
Phone: (321) 305-6254
Fax: (321) 305-5972
Street-level locationGet directions
Mailing address
190 S Sykes Creek Pkwy
Merritt Island, FL 32952-3572
Registry dates
- Enumerated
- 2010-01-29
- Last updated
- 2011-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.