Individual
DR. MARIA CARMEN ANTIGUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1613 N. HARRISON PARKWAY, SUNRISE, FL 33323
(954) 514-4670
Mailing address
1613 N. HARRISON PARKWAY, SUNRISE, FL 33323
(954) 514-4670
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME49755
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME49755
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062775500
—
FL
Enumeration date
12/20/2005
Last updated
12/03/2013
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