Individual
JUSTIN COLE REKIETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8610
Mailing address
41 TANNER TRL, SAINT AUGUSTINE, FL 32092-3254
(405) 200-7861
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA1156
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129117700
—
FL
Enumeration date
08/12/2025
Last updated
12/03/2025
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