Individual
DR. PAUL T. ANTONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, MBA
Contact information
Practice address
524 QUENTIN ROOSEVELT BLVD, SAN DIEGO, CA 92135
(202) 713-5440
Mailing address
7309 PINE NEEDLE RD, SARASOTA, FL 34242-2624
(202) 713-5440
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
01048172A
IN
2083P0901X
Public Health & General Preventive Medicine Physician
01048172A
IN
2083S0010X
Sports Medicine (Preventive Medicine) Physician
01048172A
IN
208D00000X
General Practice Physician
01048172A
IN
208U00000X
Clinical Pharmacology Physician
01048172A
IN
Other
Enumeration date
05/27/2005
Last updated
09/20/2019
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