Provider Demographics
NPI:1134313711
Name:APOLONIO, FERDINAND EMMANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:FERDINAND
Middle Name:EMMANUEL
Last Name:APOLONIO
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 1:8672 HOLLIS LN
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-2032
Mailing Address - Country:US
Mailing Address - Phone:440-667-3745
Mailing Address - Fax:
Practice Address - Street 1:55 ARCH ST
Practice Address - Street 2:SUITE 3A
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1423
Practice Address - Country:US
Practice Address - Phone:330-375-3584
Practice Address - Fax:330-375-3730
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57-010111207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine