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MR. MICHAEL ADAM ANTONIS PA

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1619569738

Individual Registrant:
MR. MICHAEL ADAM ANTONIS PA
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: --

Contact information for business:
8701 N US HIGHWAY 1  SEBASTIAN, FL 32958-7524 US
Tel: --  Fax: --

Registration Information:
NPI: 1619569738
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
FLPA9113950

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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