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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 15 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 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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