Individual
ANTIGONE ATHANASATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10537 STATE ROAD 54, NEW PORT RICHEY, FL 34655-2293
(727) 376-8404
(727) 674-2181
Mailing address
10537 STATE ROAD 54, NEW PORT RICHEY, FL 34655-2293
(727) 376-8404
(727) 674-2181
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS16213
FL
Other
Enumeration date
03/28/2016
Last updated
08/05/2019
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