Provider Demographics
NPI:1851599518
Name:ANTIA, DIANA K (MD)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:K
Last Name:ANTIA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:111 MAJORCA AVE STE B
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4508
Mailing Address - Country:US
Mailing Address - Phone:305-448-8325
Mailing Address - Fax:305-448-0687
Practice Address - Street 1:111 MAJORCA AVE
Practice Address - Street 2:STE B
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4508
Practice Address - Country:US
Practice Address - Phone:305-448-8325
Practice Address - Fax:305-448-0687
Is Sole Proprietor?:No
Enumeration Date:2007-07-04
Last Update Date:2020-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLTRN108602084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry