Individual
GEORGE MICHAEL ANTAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 SOUTH ASHLEY DRIVE, SUITE 1500, TAMPA, FL 33602-5318
(813) 899-6220
(813) 985-8006
Mailing address
100 SOUTH ASHLEY DRIVE, SUITE 1500, TAMPA, FL 33602-5318
(813) 899-6220
(813) 985-8006
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
ME94061
FL
2085R0202X
Diagnostic Radiology Physician
Primary
57756
TN
2085R0202X
Diagnostic Radiology Physician
ME94061
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273649700
—
FL
Enumeration date
03/08/2006
Last updated
10/01/2018
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