Individual
ANGELA D ANTONACCI-GIMBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1613 HARRISON PKWY, SUITE 200, SUNRISE, FL 33323-2853
(954) 831-2371
Mailing address
851 TRAFALGAR CT., SUITE 200E, MAITLAND, FL 32751
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME92108
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271572400
—
FL
01
—
64106
BCBS
FL
Enumeration date
01/11/2006
Last updated
07/10/2017
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