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Individual

ANTOINE S HEDARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1220 N HIGHWAY A1A STE 147, INDIALANTIC, FL 32903-2858
(321) 253-7553
(321) 951-9127
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 253-7553

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME175105
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
V2395
MEDICARE HF
FL
Enumeration date
04/22/2022
Last updated
09/02/2025
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