Provider Demographics
NPI:1609992965
Name:D'ANTONIO, STEVEN (ND, AP)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:D'ANTONIO
Suffix:
Gender:M
Credentials:ND, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 LOUISIANA AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2340
Mailing Address - Country:US
Mailing Address - Phone:407-644-2990
Mailing Address - Fax:407-640-4370
Practice Address - Street 1:1201 LOUISIANA AVE
Practice Address - Street 2:SUITE E
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2340
Practice Address - Country:US
Practice Address - Phone:407-644-2990
Practice Address - Fax:407-640-4370
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT1213175F00000X
FLAP2717171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath