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Individual

CALLAH ANTONETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1675 TRINITY DR, PENSACOLA, FL 32504-5708
(850) 416-7710
(850) 416-6729
Mailing address
PO BOX 2699, ATTN: SHMG/HPE, PENSACOLA, FL 32513-2699
(850) 416-7658
(850) 416-6729

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME12345
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/27/2013
Last updated
04/27/2016
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