Dr Garry B Antoine, MD | |
5844 N Orange Blossom Trl, Orlando, FL 32810-1025 | |
(407) 602-1100 | |
(407) 219-4221 |
Full Name | Dr Garry B Antoine |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 20 Years |
Location | 5844 N Orange Blossom Trl, Orlando, Florida |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689073819 | NPI | - | NPPES |
015253600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 18854 (Puerto Rico) | Secondary |
208D00000X | General Practice | ACN675 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Family Health Center | 5991059529 | 2 |
Entity Name | Chappel Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326442005 PECOS PAC ID: 0840513230 Enrollment ID: O20141215002212 |
Entity Name | Northwest Family Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750838041 PECOS PAC ID: 5991059529 Enrollment ID: O20181116000861 |
Mailing Address | Practice Location Address |
---|---|
Dr Garry B Antoine, MD Po Box 951306, Lake Mary, FL 32795-1306 Ph: (407) 602-1100 | Dr Garry B Antoine, MD 5844 N Orange Blossom Trl, Orlando, FL 32810-1025 Ph: (407) 602-1100 |
Baha Aldeen Bani Fawwaz, MBBS General Practice Medicare: Medicare Enrolled Practice Location: 2501 N Orange Ave Ste 235, Orlando, FL 32804 Phone: 407-303-7270 | |
Dr. Nhung Thi Tran, M.D General Practice Medicare: Not Enrolled in Medicare Practice Location: 4000 Central Florida Blvd, Orlando, FL 32816 Phone: 407-823-2098 Fax: 407-823-6932 | |
Dr. Marcos Antonio Rivera Roman, MD General Practice Medicare: Medicare Enrolled Practice Location: 1130 S Semoran Blvd Ste Bandc, Orlando, FL 32807 Phone: 407-382-1376 Fax: 321-235-3232 | |
Dr. Juan Carlos Cantu, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 7359 Lake Underhill Rd, Orlando, FL 32822 Phone: 407-900-9284 Fax: 407-203-8887 | |
Abhishek Mishra, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 7620 Lake Underhill Rd, Orlando, FL 32822 Phone: 321-235-0692 Fax: 321-235-0694 | |
Osmany Lazaro Rodriguez Herrada, MD General Practice Medicare: Medicare Enrolled Practice Location: 811 N Nowell St, Orlando, FL 32808 Phone: 407-259-2383 Fax: 407-363-3884 | |
Dr. Dariusz Grzegorz Mydlarz, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6336 W Colonial Dr, Orlando, FL 32818 Phone: 407-219-5200 Fax: 321-281-8700 |