Basic Information
| Provider Information | |||||||||
| NPI: | 1609992965 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | D'ANTONIO | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | ND, AP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1201 LOUISIANA AVE | ||||||||
| Address2: | SUITE E | ||||||||
| City: | WINTER PARK | ||||||||
| State: | FL | ||||||||
| PostalCode: | 327892340 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4076442990 | ||||||||
| FaxNumber: | 4076404370 | ||||||||
| Practice Location | |||||||||
| Address1: | 1201 LOUISIANA AVE | ||||||||
| Address2: | SUITE E | ||||||||
| City: | WINTER PARK | ||||||||
| State: | FL | ||||||||
| PostalCode: | 327892340 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4076442990 | ||||||||
| FaxNumber: | 4076404370 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2007 | ||||||||
| LastUpdateDate: | 10/12/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 175F00000X | NT1213 | WA | N | Other Service Providers | Naturopath | 171100000X | AP2717 | FL | Y | Other Service Providers | Acupuncturist |
No ID Information.