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Anton Kootte, PHD LCSW

NPI 1548249360 · on the registry since 2006

Practice

Address
439 Sw Michigan St
Lake City, FL 32025
Phone
(352) 374-5600
Organisation at this address
Genoa Healthcare Llc
Meridian Primary Care Clinic
Meridian Behaviral Healthcare
Meridian Behavioral Healthcare, Inc.
Meridian Behavioral Healthcare, Inc Of Lake City
Inferred from a shared address, not stated in the registry.
Clinicians at this address
373

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
171M00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-11-13

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