Provider Demographics
NPI:1538232384
Name:DAKOUNY, ANTOINE I (MD)
Entity type:Individual
Prefix:
First Name:ANTOINE
Middle Name:I
Last Name:DAKOUNY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 TAMIAMI TRL
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-8102
Mailing Address - Country:US
Mailing Address - Phone:941-624-4507
Mailing Address - Fax:941-624-4506
Practice Address - Street 1:3400 TAMIAMI TRL
Practice Address - Street 2:SUITE 104
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-8102
Practice Address - Country:US
Practice Address - Phone:941-624-4507
Practice Address - Fax:941-624-4506
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 95166207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL277159400Medicaid
FLME95166OtherLICENSE NUMBER
FL92828OtherBCBS FL
FLME95166OtherLICENSE NUMBER