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10D1099315 CLIA NUMBER - ANTOINE I DAKOUNY MD PA

Laboratory Demographics

CLIA Number: 10D1099315

Facility Name: ANTOINE I DAKOUNY MD PA

Facility Address:
3400 TAMIAMI TRAIL STE 104
PORT CHARLOTTE, FL
ZIP 33952
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Facility Phone Number: 941 347-7203

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1538232384

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 10D1099315
LAB Type Physician Office
Facility Name ANTOINE I DAKOUNY MD PA
Street 3400 TAMIAMI TRAIL STE 104
City PORT CHARLOTTE
State FL
ZIP 33952
Phone 941 347-7203
CertificateType 4
CertificateEffectiveDate 5/11/2023
CertificateExpirationDate 5/10/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024