| Robert Antoine Md Pa | |
|
2501 E Commercial Blvd Ste 211 Fort Lauderdale FL 33308-4131 | |
| (516) 410-0403 | |
| Not Available |
| Full Name | Robert Antoine Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2501 E Commercial Blvd, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Robert Antoine (PRESIDENT) |
| Authorized Official Contact | 5164100403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Antoine Md Pa 2501 E Commercial Blvd Ste 211 Fort Lauderdale FL 33308-4131 Ph: (516) 410-0403 | Robert Antoine Md Pa 2501 E Commercial Blvd Ste 211 Fort Lauderdale FL 33308-4131 Ph: (516) 410-0403 |
| NPI Number | 1376849018 |
|---|---|
| Provider Enumeration Date | 01/27/2011 |
| Last Update Date | 01/27/2011 |
| Medicare PECOS PAC ID | 1456503481 |
|---|---|
| Medicare Enrollment ID | O20121220000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376849018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Robert Antoine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245249218 PECOS PAC ID: 9133189871 Enrollment ID: I20100113000519 |
| Provider Name | Rebecca Antoine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962997049 PECOS PAC ID: 6002150109 Enrollment ID: I20181130000029 |
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