Individual
DR. ANTOINETTE M FALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
535 CENTRAL AVE STE 316, ST PETERSBURG, FL 33701-3703
(727) 526-6699
(866) 469-3880
Mailing address
941 LIVE OAK AVE NE, ST PETERSBURG, FL 33703-3178
(727) 526-6699
(866) 469-3880
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME58941
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12515
BLUE SHIELD
FL
Enumeration date
10/13/2006
Last updated
07/08/2007
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