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Individual
GEORGE B. ANTONIOUS
Active
Individual
GEORGE B. ANTONIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME82874
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935446
—
AL
01
—
01187
BLUE CROSS BLUE SHIELD
FL
05
—
261961000
—
FL
01
—
591-83784
BLUE CROSS BLUE SHIELD
AL
01
—
7167253
AETNA
—
Enumeration date
12/16/2005
Last updated
07/01/2025
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