Antaki, George Michael

Antaki, George Michael is an individual health care provider with primary practice located at 100 South Ashley Drive Suite 1500, Tampa FL 33602-5318. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Antaki, George Michael can be contacted via phone (813) 899-6220.

Contact Information

Primary practice address
100 South Ashley Drive Suite 1500 Tampa FL 33602-5318
Phone: (813) 899-6220
Fax: (813) 985-8006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X ME94061 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME94061 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 57756 Tennessee

Profile Details

NPI number 1962479964
LBN Legal business name Antaki, George Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Oct 1st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962479964 NPPES
Florida MEDICAID 273649700

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