Physicians Care of Keystone

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0049847 Issued in FL

Legal business name

PHYSICIANS CARE OF KEYSTONE

Practice address

6542 Triest Ave
Keystone Heights, FL 32656-9393

Phone

(352) 473-7288

Fax

(352) 473-9365

NPI assigned

Aug 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George L Restea, MDNPI 1881664951

Title

President

Phone

(352) 473-7288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George L Restea, MD

  • Internal Medicine Physician
  • Keystone Heights, FL
  • NPI 1881664951
  Medicare reassignment Authorized official
• Virginia Stewart, APRN

  • Adult Health Nurse Practitioner
  • Keystone Heights, FL
  • NPI 1346541190
  NPD (past)
• Dragos G Zanchi, M.D

  • Pulmonary Disease Physician
  • Brandon, FL
  • NPI 1922068550
  NPD (past)
• Vicki M Wlock, NP

  • Registered Nurse
  • Niagara Falls, NY
  • NPI 1508826322
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1154512432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6542 TRIEST AVE",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569393",
            "telephone_number": "352-473-7288",
            "fax_number": "352-473-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 TRIEST AVE",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569393",
            "telephone_number": "352-473-7288",
            "fax_number": "352-473-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CARE OF KEYSTONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "RESTEA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-473-7288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0049847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri Lee Nichols, D.C.
• North Florida Pharmacy of Keystone Heights Inc
• Magda Luisa Orsini-Ortiz, M.D.
• Park of the Palms, Inc.
• Lawrence Ellis Parrish, DVM
• Selena Sandra Plummer, MED
• Shannon Kate Pollock
• Potter Speech & Language Therapy, LLC
• Marlee Elizabeth Potter
• Claudia T Prino, PSYD

• Internal Medicine Physician in Keystone Heights, FL
• Providers in Keystone Heights, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.