Individual
DR. GARRY B ANTOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5844 N ORANGE BLOSSOM TRL, ORLANDO, FL 32810-1025
(407) 602-1100
(407) 219-4221
Mailing address
PO BOX 951306, LAKE MARY, FL 32795-1306
(407) 602-1100
(407) 219-4221
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
18854
PR
208D00000X
General Practice Physician
Primary
ACN675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015253600
—
FL
Enumeration date
08/13/2014
Last updated
06/18/2024
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