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Individual

EMILIO A. ANTONETTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6160 N DAVIS HWY, SUITE 11, PENSACOLA, FL 32504-6994
(850) 202-1380
(850) 478-4927
Mailing address
6160 N DAVIS HWY, SUITE 11, PENSACOLA, FL 32504-6994
(850) 202-1380
(850) 478-4927

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME44615
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
069437100
FL
01
59049656
BLUECROSS BLUESHIELD
AL
01
94368
BLUECROSS BLUESHIELD
FL
01
Z105
HEALTH FIRST NETWORK
FL
Enumeration date
09/26/2005
Last updated
07/08/2007
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