Doctor Name: | GEORGE MICHAEL ANTAKI |
NPI Number: | 1962479964 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME94061 |
Business Practice Address: | 100 South Ashley Drive Suite 1500 Tampa, FL - 336025318 |
Business Phone Number: | 8138996220 |
Business Fax Number: | 8139858006 |
Mailing Address: | 100 South Ashley Drive, Suite 1500 TAMPA |
State: | FL |
Postal Code: | 336025318 |
Phone Number: | 8138996220 |
Fax Number: | 8139858006 |
NPI Enumeration Date: | 03/08/2006 |
NPI Last Update Date: | 03/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | ME94061 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |