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NPI Code Detail

MEDICARE: LINDA CAROLE RESTEA CRNA

MEDICARE: LINDA CAROLE RESTEA CRNA
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
1367500000XCertified Registered Nurse Anesthetist2862022FL

General Provider Information

NPI Number : 1154428704
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA CAROLE RESTEA CRNA
Provider Business Mailing Address
First Line : 1609 NW 103RD TER
Second Line :
City : GAINESVILLE
State : FL
Zip : 32606-5584
Country : US
Telephone Number : 352-331-6781
Fax Number :
Provider Business Practice Location Address
First Line : 922 E CALL ST
Second Line :
City : STARKE
State : FL
Zip : 32091-3616
Country : US
Telephone Number : 904-368-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2006
Last Update Date : 07/08/2007

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Directions to “ LINDA CAROLE RESTEA CRNA” Practice Location

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