OrganizationActive
Healing and Restoring PLLC
NPI 1891108148 · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Niles, MI
Provider details
- NPI number
- 1891108148
- Entity type
- Organization
- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jose Gomez, Chairman(269) 262-4229
- License
- 4301089165 (MI)
Specialties & taxonomies
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianPrimary2083P0011XLicense 4301089165 (MI)
Allopathic & Osteopathic Physicians
Practice location
44 Longmeadow Ln
Niles, MI 49120-7802
Phone: (269) 262-4229
Approximate (ZIP-level) locationGet directions
Mailing address
44 Longmeadow Ln
Niles, MI 49120-7802
Registry dates
- Enumerated
- 2014-06-04
- Last updated
- 2014-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.