Provider Demographics
NPI:1811297716
Name:BESTOW, DAVID GEORGE (CRNA)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:GEORGE
Last Name:BESTOW
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Gender:M
Credentials:CRNA
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Mailing Address - Street 1:2400 FEATHER SOUND DR
Mailing Address - Street 2:UNIT 1428
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33762-3084
Mailing Address - Country:US
Mailing Address - Phone:727-556-9021
Mailing Address - Fax:610-480-8387
Practice Address - Street 1:1901 ULMERTON ROAD
Practice Address - Street 2:SUITE 450
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33762-3209
Practice Address - Country:US
Practice Address - Phone:727-210-8191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2015-08-14
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9277658367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered