MEDICARE: XAVIER ANTON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	ME50614	FL

General Provider Information

NPI Number	:	1649376302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XAVIER ANTON M.D.

Provider Business Mailing Address
First Line	:	3629 PALMETTO AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-6220
Country	:	US
Telephone Number	:	305-461-3348
Fax Number	:	305-444-5195

Provider Business Practice Location Address
First Line	:	3629 PALMETTO AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-6220
Country	:	US
Telephone Number	:	305-461-3348
Fax Number	:	305-444-5195

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	11/14/2012

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