Louis B Antoine MD Faap PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME45466 Issued in FL

Legal business name

LOUIS B ANTOINE MD FAAP PA

Practice address

4801 S University Dr
Suite 239
Davie, FL 33328-3839

Phone

(954) 249-1984

Fax

(954) 434-8711

NPI assigned

Jun 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Louis B Antoine, M.D.NPI 1700890555

Title

President

Phone

(954) 249-1984

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louis B Antoine, MD

  • Psychiatry Physician
  • Miami, FL
  • NPI 1700890555
  Medicare reassignment NPD Authorized official
• Claudette Premice, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Davie, FL
  • NPI 1962089011
  Medicare reassignment NPD

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1699114447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11979 SW 55 STREET",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333303310",
            "telephone_number": "954-249-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S UNIVERSITY DR",
            "address_2": "SUITE 239",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283839",
            "telephone_number": "954-249-1984",
            "fax_number": "954-434-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS B ANTOINE MD FAAP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "ANTOINE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-249-1984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME45466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006682800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS FLORIDA",
            "identifier": "34012",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME45466",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire C Loucka, LMFT
• Adi Louden
• Andrea Aileen Louden, AP
• Shonna Loudis, CLINICAL PHARMACIST
• Alex Louima
• Jason Louis-Jacques
• Andrelle Louis
• Bryant Greender Louis
• Francoise Louis
• Gabrielle K Louis

• Psychiatry Physician in Davie, FL
• Providers in Davie, 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 14, 2013; 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.

Verify at the official NPI Registry.