Individual
DR. SALAH ANTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR STE 200, TAMPA, FL 33612-9416
(813) 745-4673
(941) 308-8508
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
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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