Organization · NPI-2

Antoine I Dakouny MD PA

Internal Medicine · Port Charlotte, FL

NPI number1356582563
StatusActive
Last updated in NPPESMar 26, 2010

Details

NPI
1356582563
Entity type
Organization (NPI-2)
Legal business name
Antoine I Dakouny MD PA
Organization subpart
No
Enumeration date
Mar 18, 2009
Last updated
Mar 26, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME95166FLYes

Practice location

3400 Tamiami Trl
Suite 104
Port Charlotte, FL 33952-8102

Phone 941-624-4507

Mailing address

3400 Tamiami Trl
Suite 104
Port Charlotte, FL 33952-8102

Phone 941-624-4507

Authorized official

Antoine I Dakouny
Owner/Physician
9416244507

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