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Organization

LOUIS B ANTOINE MD FAAP PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LOUIS B ANTOINE M.D. (PRESIDENT)
(954) 249-1984
Entity
Organization

Contact information

Practice address
4801 S UNIVERSITY DR, SUITE 239, DAVIE, FL 33328-3839
(954) 249-1984
(954) 434-8711
Mailing address
11979 SW 55 STREET, COOPER CITY, FL 33330-3310
(954) 249-1984

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME45466
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006682800
FL
01
34012
BC BS FLORIDA
FL
01
ME45466
STATE LICENSE
FL
Enumeration date
06/14/2013
Last updated
06/14/2013
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