Individual
ANTONELLA RESTIVO LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 PGA BLVD., SUITE 200, PALM BEACH GARDENS, FL 33410-2824
(561) 366-4100
(561) 776-8801
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
ME114845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016293900
—
FL
Enumeration date
10/13/2006
Last updated
08/10/2022
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