Provider Demographics
NPI:1174511216
Name:BARQUET, ANTONIO R (MD)
Entity Type:Individual
Prefix:MR
First Name:ANTONIO
Middle Name:R
Last Name:BARQUET
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:351 NW LEJEUNE RD
Mailing Address - Street 2:STE 105
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126
Mailing Address - Country:US
Mailing Address - Phone:305-649-3733
Mailing Address - Fax:305-649-6430
Practice Address - Street 1:351 NW LEJEUNE RD
Practice Address - Street 2:STE 105
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126
Practice Address - Country:US
Practice Address - Phone:305-649-3733
Practice Address - Fax:305-649-6430
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0030506207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL067812100Medicaid
FL067812100Medicaid
FLD63506Medicare UPIN