MEDICARE: GEORGE L RESTEA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME0049847	FL

General Provider Information

NPI Number	:	1881664951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE L RESTEA MD

Provider Business Mailing Address
First Line	:	6542 TRIEST AVE
Second Line	:
City	:	KEYSTONE HEIGHTS
State	:	FL
Zip	:	32656-9393
Country	:	US
Telephone Number	:	352-473-7288
Fax Number	:	352-473-9365

Provider Business Practice Location Address
First Line	:	6542 TRIEST AVE
Second Line	:
City	:	KEYSTONE HEIGHTS
State	:	FL
Zip	:	32656-9393
Country	:	US
Telephone Number	:	352-473-7288
Fax Number	:	352-473-9365

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	02/02/2026

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