Search › Florida › 122300000X
Mauricio Antezana
NPI 1063876399 · on the registry since 2016 · sole proprietor
Practice
- Address
- 115 John F Kennedy Dr
Atlantis, FL 33462 - Phone
- (561) 967-3513
- Clinicians at this address
- 4
Additional practice sites
- 111 E 210th St, Bronx, NY
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- NY, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida