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1336397991 NPI number — ANTOINE E SOUEID M.D.

NPI Number: 1336397991
Health Care Provider/Practitioner: ANTOINE E SOUEID M.D.

Information about “1336397991” NPI (ANTOINE E SOUEID M.D.) exists in 1336397991 in HTML format HTML  |  1336397991 in plain Text format TXT  |  1336397991 in PDF (Portable Document Format) PDF  |  1336397991 in an XML format XML  formats.

NPI Number : 1336397991 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336397991",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SOUEID",
    "FirstName": "ANTOINE",
    "MiddleName": "E",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 2147",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT MYERS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33902-2147",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "239-424-3278",
    "MailingAddressFaxNumber": "239-343-4133",
    "FirstLinePracticeLocationAddress": "414 CAPE CORAL PKWY E STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CAPE CORAL",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33904-8522",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "239-424-3278",
    "PracticeLocationAddressFaxNumber": "239-343-4133",
    "EnumerationDate": "09/08/2008",
    "LastUpdateDate": "11/10/2025",
    "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": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "042.0014768",
          "LicenseNumberStateCode": "VT",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "ME164821",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "20517",
          "LicenseNumberStateCode": "NH",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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