Antonio Miguel Betancourt, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME36555 Issued in FL

Practice address

1720 S Gadsden St
Tallahassee, FL 32301-5506

Phone

(850) 576-4073

NPI assigned

May 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pancare of Florida, Inc

  • Federally Qualified Health Center (FQHC)
  • Panama City, FL
  • NPI 1366456287
  Medicare reassignment NPD
• Pancare of Florida, Inc

  • Community/Retail Pharmacy
  • Panama City, FL
  • NPI 1336704196
  NPD
• Pancare of Florida, Inc

  • Federally Qualified Health Center (FQHC)
  • Bristol, FL
  • NPI 1275346108
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1164473286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S GADSDEN ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323015506",
            "telephone_number": "850-576-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S GADSDEN ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323015506",
            "telephone_number": "850-576-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "ANTONIO",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME36555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Rysean Berry
• Keith L. Berry, PA
• Brittany Berta, ARNP
• Abby Lauren Bertagnolli Dunn, M. ED., BCBA, LBA
• John Bertram Jr.
• Beth Liljestrand
• Beth Liljestrand
• Beth North, LCSW, LLC
• Bethany Life LLC
• Bethel Family Life Center, Inc

• Psychiatry Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.