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Individual

ANTOINE I DAKOUNY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 TAMIAMI TRL, SUITE 104, PORT CHARLOTTE, FL 33952-8102
(941) 624-4507
(941) 624-4506
Mailing address
3400 TAMIAMI TRL, SUITE 104, PORT CHARLOTTE, FL 33952-8102
(941) 624-4507
(941) 624-4506

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 95166
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277159400
FL
01
92828
BCBS FL
FL
01
ME95166
LICENSE NUMBER
FL
Enumeration date
11/16/2006
Last updated
03/26/2010
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