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Individual

DR. SALAH ANTAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME 66188
FL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
ME66188
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2068970
CIGNA
FL
01
50423
BCBS
FL
01
P01450785
RR MEDICARE
FL
01
P100992
FREEDOM
FL
01
P934819
OPTIMUM
FL
Enumeration date
05/12/2006
Last updated
06/29/2021
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