Organization
ANTONIOU FAMILY MEDICINE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKOLAS ANTONIOU M.D. (PRESIDENT)
(630) 240-5779
Entity
Organization
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
1601 SW ARCHER ROAD, GAINESVILLE, FL 32608
(352) 376-1611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036098315
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487683793
INDIVIDUAL NPI THAT NEEDS THE ADDRESS UPDATED TO GAINESVILLE FL. THANK YOU
IL
Enumeration date
07/13/2009
Last updated
07/06/2010
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