# ANTOINE MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316633415
- **Authorized official:** DR. ZAKIYA ANTOINE DO (OWNER/CEO)
- **Authorized official phone:** (337) 739-2801

## Contact information

- **Practice address:** 650 POYDRAS ST STE 1400, NEW ORLEANS, LA 70130-6116
- **Practice address phone:** (248) 877-1036
- **Practice address fax:** (630) 358-6764
- **Mailing address:** 613 INEZ RD, NEW IBERIA, LA 70560-7017
- **Mailing address phone:** (337) 739-2801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2023
- **Last updated:** 04/12/2023