Individual
DR. ANTONIO MIGUEL BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 S GADSDEN ST, TALLAHASSEE, FL 32301-5506
(850) 576-4073
Mailing address
1720 S GADSDEN ST, TALLAHASSEE, FL 32301-5506
(850) 576-4073
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME36555
FL
Other
Enumeration date
05/13/2006
Last updated
01/28/2013
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