Angela Maria Restivo
Sports Medicine Doctor
2180 A1a S
St Augustine
, Florida 32080-6591
Angela Maria Restivo
Sports Medicine Doctor
2180 A1a S
St Augustine
, Florida 32080-6591
(443) 257-3085
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Angela Maria Restivo
- 110 2nd St
- St Augustine, FL
- Zip : 32080-6369
- Phone : (443) 257-3085
Second Address
- Angela Maria Restivo
- 2180 A1a S
- St Augustine, FL
- Zip : 32080-6591
- Phone : (443) 257-3085
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | MA85843 | FL |
National Provider Identifier
| NPI | 1699284661 |
|---|---|
| Provider Name | Angela Maria Restivo |
| First Address | St Augustine, FL 32080-6369 |
| Second Address | St Augustine, FL 32080-6591 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2017 |
| Last Update Date | 21/09/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.