Individual provider Active NPI

Robert Antoine, MD

  • Psychiatry Physician
  • Fort Lauderdale, FL
National Provider Identifier
1245249218
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME72194 Issued in FL
Practice address
2501 N Commercial Blvd
Suite 211
Fort Lauderdale, FL 33308
Phone
(954) 357-1172
Fax
(954) 357-1175
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 181875 NY
Psychiatry Physician 2084P0800X ME72194 FL Primary

Addresses

Primary practice location

2501 N Commercial Blvd
Suite 211
Fort Lauderdale, FL 33308

Mailing address

2501 N Commercial Blvd
Suite 211
Fort Lauderdale, FL 33308-4131
Phone (954) 357-1172

Other identifiers 2

IdentifierTypeStateIssuer
01842066MedicaidNY
001565500MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100113000519 FL Practitioner - Psychiatry 9133189871 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME72194FLMDPsychiatry Physician
181875NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Lawrence Mental Health Center, Inc CurrentSince Mar 1, 2021 Accepting new patients
Recovery for Life Treatment and Wellness Center LLC CurrentSince Oct 17, 2025 Accepting new patients
Eben-Ezer Medical Associates P.C PastSince Feb 9, 1996 Accepting new patients
FL Mental Care Corporation Psychiatry Past Accepting new patients
Mental Health Providers of Western Queens, Inc. PastSince Nov 1, 2009 Accepting new patients
Welllife Network Inc. Past Accepting new patients
Welllife Network Inc Past Accepting new patients

Locations

6075 Bathey Ln
Naples, FL 34116
Phone (239) 455-8500

1359 E Sample Rd
Pompano Beach, FL 33064
Phone (954) 785-8252

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1245249218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N COMMERCIAL BLVD",
            "address_2": "SUITE 211",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084131",
            "telephone_number": "954-357-1172",
            "fax_number": "954-357-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N COMMERCIAL BLVD",
            "address_2": "SUITE 211",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-357-1172",
            "fax_number": "954-357-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOINE",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "181875",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME72194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01842066",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001565500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.