Leary, Antonella Restivo

Leary, Antonella Restivo is an individual health care provider with primary practice located at 3401 Pga Blvd. Suite 200, Palm Beach Gardens FL 33410-2824. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Leary, Antonella Restivo can be contacted via phone (561) 366-4100.

Contact Information

Primary practice address
3401 Pga Blvd. Suite 200 Palm Beach Gardens FL 33410-2824
Phone: (561) 366-4100
Fax: (561) 776-8801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X ME114845 Florida

Profile Details

NPI number 1730279670
LBN Legal business name Leary, Antonella Restivo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Aug 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730279670 NPPES
Florida MEDICAID 016293900

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