Individual
ALEXANDROS NICKOLAS ANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6550 GUNN HWY, TAMPA, FL 33625-4022
(813) 968-2710
(813) 964-9170
Mailing address
4033 TAMPA RD, STE. 101, OLDSMAR, FL 34677-3224
(813) 852-2003
(813) 855-2367
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME94465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274177600
—
FL
Enumeration date
07/14/2006
Last updated
06/09/2021
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