Individual
DR. MICHAEL WILLIAM RESTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 863-7566
Mailing address
40 LANMAN RD, NICEVILLE, FL 32578-3607
(850) 279-4532
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME 106765
FL
Other
Enumeration date
11/16/2005
Last updated
12/09/2012
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