Healthcare Provider Details

I. General information

NPI: 1811297716
Provider Name (Legal Business Name): DAVID GEORGE BESTOW CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2010
Last Update Date: 08/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 ULMERTON ROAD SUITE 450
CLEARWATER FL
33762-3209
US

IV. Provider business mailing address

2400 FEATHER SOUND DR UNIT 1428
CLEARWATER FL
33762-3084
US

V. Phone/Fax

Practice location:
  • Phone: 727-210-8191
  • Fax:
Mailing address:
  • Phone: 727-556-9021
  • Fax: 610-480-8387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9277658
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: