Provider Demographics
NPI:1447071964
Name:RESTIVO, GEYDI (ARNP, FNP-C)
Entity type:Individual
Prefix:
First Name:GEYDI
Middle Name:
Last Name:RESTIVO
Suffix:
Gender:
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16633 SW 107TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-2965
Mailing Address - Country:US
Mailing Address - Phone:305-721-8677
Mailing Address - Fax:
Practice Address - Street 1:3150 SW 38TH AVE STE 800
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33146-1530
Practice Address - Country:US
Practice Address - Phone:786-409-4131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-17
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11036005363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner