Individual
DINA ANTOUN BADRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9160 GALLERIA CT, NAPLES, FL 34109-4343
(239) 514-8787
(239) 514-1965
Mailing address
15539 MONTEROSSO LN, #201, NAPLES, FL 34110-2742
(239) 514-8787
(239) 514-1965
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0065421
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37654820
—
FL
Enumeration date
08/15/2006
Last updated
07/09/2007
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