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General NPI Number Information
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NPI Number | 1710932447
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Entity Type | Individual
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Provider Name | VERONICA M. ANTOINE MD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1361 13TH AVE S
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-3233
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Country | US
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Telephone | 904-265-7755
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Fax | 904-265-7754
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Provider Business Mailing Address
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Address Line | 7855 ARGYLE FOREST BLVD STE 101
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City | JACKSONVILLE
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State | FL
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Zip | 32244-5597
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Country | US
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Telephone | 904-955-0562
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Fax | 904-212-1351
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD-13021
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME134179
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License Number State | FL
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