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1215788716 NPI number — ANTONIO GABRIEL NETO

NPI Number: 1215788716
Health Care Provider/Practitioner: ANTONIO GABRIEL NETO

Information about “1215788716” NPI (ANTONIO GABRIEL NETO) exists in 1215788716 in HTML format HTML  |  1215788716 in plain Text format TXT  |  1215788716 in PDF (Portable Document Format) PDF  |  1215788716 in an XML format XML  formats.

NPI Number : 1215788716 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215788716",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NETO",
    "FirstName": "ANTONIO",
    "MiddleName": "GABRIEL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7261 SHERIDAN ST STE 340",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOLLYWOOD",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33024-2726",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-561-6222",
    "MailingAddressFaxNumber": "954-990-7650",
    "FirstLinePracticeLocationAddress": "7200 CAMINO REAL STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOCA RATON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33433-5511",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-674-0885",
    "PracticeLocationAddressFaxNumber": "561-674-0856",
    "EnumerationDate": "04/01/2024",
    "LastUpdateDate": "10/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "APRN11041216",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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