Fant, Michael E
Fant, Michael E is an individual health care provider with primary practice located at 2 Tampa General Cir Mdc 15, Tampa FL 33606-3603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Fant, Michael E can be contacted via phone (727) 553-3544.Contact Information
Primary practice address
2 Tampa General Cir Mdc 15
Tampa FL 33606-3603
Phone: (727) 553-3544
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | H1486 | Texas |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | ME103878 | Florida |
Profile Details
| NPI number | 1568498434 |
|---|---|
| LBN Legal business name | Fant, Michael E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | May 14th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568498434 | NPPES |
| Florida | Other | 29873 | BLUE CROSS BLUE SHIELD |
| Florida | Other | 85717F | BLUE CROSS BLUE SHIELD |
| Florida | Other | 129265806 | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 129265805 | BLUE CROSS BLUE SHIELD |
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