MEDICARE: ANTOINETTE C SPOTO-CANNONS MD

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	208000000X	Pediatrics Physician	ME72740	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	46741	OTHER	FL	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952312894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTOINETTE C SPOTO-CANNONS MD

Provider Business Mailing Address
First Line	:	PO BOX 917770
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32891-0001
Country	:	US
Telephone Number	:	813-974-2201
Fax Number	:	813-974-2812

Provider Business Practice Location Address
First Line	:	17 DAVIS BLVD STE 100
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-3468
Country	:	US
Telephone Number	:	813-974-2201
Fax Number	:	813-974-2812

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

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	10/28/2020

Similar Medicare Providers

1811429301 — SARA GARCIA M.D.
Practice Location Address:

17 DAVIS BLVD STE 100
TAMPA, FL
33606-3468

Practice Phone: 813-259-8752
Practice Fax:

1073462628 — UNIVERSITY MEDICAL SERVICE ASSOCIATION INC
Practice Location Address:

17 DAVIS BLVD STE 100
TAMPA, FL
33606-3468

Practice Phone: 813-821-8821
Practice Fax:

1629929054 — INFORM DIAGNOSTICS, INC.
Practice Location Address:

10770 N 46TH ST STE F200
TAMPA, FL
33617-3468

Practice Phone: 866-588-3280
Practice Fax: 972-767-0225

1457692246 — WILNISE HORSEY PH.D
Practice Location Address:

20304 ASH GROVE LN
TAMPA, FL
33647-3468

Practice Phone: 321-747-4362
Practice Fax:

1629781752 — BAKOTIC PATHOLOGY ASSOCIATES, LLC
Practice Location Address:

10770 N 46TH ST STE F200
TAMPA, FL
33617-3468

Practice Phone: 855-422-5628
Practice Fax: 205-579-9387

1760943443 — STEVEN AZIZ
Practice Location Address:

6035 FAIRVIEW RD
CHARLOTTE, NC
28210-3256

Practice Phone: 704-295-3000
Practice Fax: 704-295-3468

Directions to “ ANTOINETTE C SPOTO-CANNONS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.