Restrepo, Gliset
Restrepo, Gliset is an individual health care provider with primary practice located at 1990 N Prospect Ave , Lecanto FL 34461-9792. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Restrepo, Gliset can be contacted via phone (352) 527-6888.Contact Information
Primary practice address
1990 N Prospect Ave
Lecanto FL 34461-9792
Phone: (352) 527-6888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 9110146 | Florida |
Profile Details
| NPI number | 1821534926 |
|---|---|
| LBN Legal business name | Restrepo, Gliset |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2017 |
| Last updated | Oct 18th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821534926 | NPPES |
| Florida | MEDICAID | 023243500 |
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