NPI 1033665690

Megan Antinone, PAC

Practitioner Physician Assistant Fort Walton Beach, FL

Practice location

Address: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
Phone: (850) 863-7607
Mailing address: 4054 Bond Cir, Niceville, FL 32578-1629

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1033665690
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2016
Record last updated: 8 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.