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MR. MICHAEL ADAM ANTONIS PA
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1619569738
Individual Registrant:MR. MICHAEL ADAM ANTONIS PA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
8701 N US HIGHWAY 1 SEBASTIAN, FL 32958-7524 US
Tel: 772-228-8480 Fax: --
Tel: 772-228-8480 Fax: --
Contact information for business:
8701 N US HIGHWAY 1 SEBASTIAN, FL 32958-7524 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1619569738
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | FL | PA9113950 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
