| Antoine I Dakouny Md Pa | |
|
3400 Tamiami Trl Suite 104 Port Charlotte FL 33952-8102 | |
| (941) 624-4507 | |
| Not Available |
| Full Name | Antoine I Dakouny Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3400 Tamiami Trl, Port Charlotte, Florida |
| Authorized Official Name and Position | Antoine I Dakouny (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9416244507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antoine I Dakouny Md Pa 3400 Tamiami Trl Suite 104 Port Charlotte FL 33952-8102 Ph: (941) 624-4507 | Antoine I Dakouny Md Pa 3400 Tamiami Trl Suite 104 Port Charlotte FL 33952-8102 Ph: (941) 624-4507 |
| NPI Number | 1356582563 |
|---|---|
| Provider Enumeration Date | 03/18/2009 |
| Last Update Date | 03/26/2010 |
| Medicare PECOS PAC ID | 4880742873 |
|---|---|
| Medicare Enrollment ID | O20090430000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356582563 | NPI | - | NPPES |
| DO8127 | Other | FL | MEDICARE RR |
| 1052998 | Other | FL | GHI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME95166 (Florida) | Primary |
| Provider Name | Antoine I Dakouny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538232384 PECOS PAC ID: 4981604758 Enrollment ID: I20061228000368 |
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