Antonov, Pavel

Antonov, Pavel is an individual health care provider with primary practice located at 11750 Sw 40Th St , Miami FL 33175-3530. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Antonov, Pavel can be contacted via phone (315) 223-3000.

Contact Information

Primary practice address
11750 Sw 40Th St Miami FL 33175-3530
Phone: (315) 223-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35.135526 Ohio

Profile Details

NPI number 1285089789
LBN Legal business name Antonov, Pavel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2016
Last updated May 15th, 2019 - about 5 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.

Request for update

Popular Providers