Active NPI
Antoine I Dakouny MD PA
- Internal Medicine Physician
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME95166
- Legal business name
- ANTOINE I DAKOUNY MD PA
- Practice address
- 3400 Tamiami TRL
Suite 104
Port Charlotte, FL 33952-8102 - Phone
- (941) 624-4507
- NPI assigned
- Mar 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Antoine I Dakouny, MD
- Title
- Owner/Physician
- Phone
- (941) 624-4507
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME95166 | FL | Primary |
Addresses
Primary practice location
3400 Tamiami TRL
Suite 104
Port Charlotte, FL 33952-8102
Mailing address
3400 Tamiami TRL
Suite 104
Port Charlotte, FL 33952-8102
Phone (941) 624-4507
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO8127 | Other | FL | MEDICARE RR |
| 1052998 | Other | FL | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
15121 Tamiami Trl
North Port, FL 34287
Phone (941) 235-4400
3400 Tamiami Trl
Ste 104
Pt Charlotte, FL 33952
Phone (941) 347-7203
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GDDCBD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Port Charlotte, FL
- NPI 1538232384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269561600000",
"number": "1356582563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 TAMIAMI TRL",
"address_2": "SUITE 104",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339528102",
"telephone_number": "941-624-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 TAMIAMI TRL",
"address_2": "SUITE 104",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339528102",
"telephone_number": "941-624-4507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTOINE I DAKOUNY MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-18",
"last_updated": "2010-03-26",
"status": "A",
"authorized_official_last_name": "DAKOUNY",
"authorized_official_first_name": "ANTOINE",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "941-624-4507",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME95166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "DO8127",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "1052998",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.