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Organization

ANTOINE I DAKOUNY MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTOINE I DAKOUNY MD (OWNER/PHYSICIAN)
(941) 624-4507
Entity
Organization

Contact information

Practice address
3400 TAMIAMI TRL, SUITE 104, PORT CHARLOTTE, FL 33952-8102
(941) 624-4507
Mailing address
3400 TAMIAMI TRL, SUITE 104, PORT CHARLOTTE, FL 33952-8102
(941) 624-4507

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME95166
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1052998
GHI
FL
01
DO8127
MEDICARE RR
FL
Enumeration date
03/18/2009
Last updated
03/26/2010
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