| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ILLENA ANTONETTI | 1700990355 | 2024-01-06 |
Illena Antonetti [F] graduated in 2006 from University Of Rochester School Of Medicine And Dentistry and primarily specializes in Cardiovascular Disease (cardiology).
Illena Antonetti is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1700990355. Registration indicates Illena Antonetti is a provider of access to cardiologists services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine (Cardiovascular Disease (Internal Medicine),, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine: Cardiovascular Disease, ) (Specialist Network, ) (Internal Medicine Cardiovascular Disease, Allopathic & Osteopathic Physicians) (Internal Medicine, )
| PECOS ID | 547311961 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Illena Antonetti M.D. |
| Practice Office Address | 7148 CURRY FORD RD STE 200 ORLANDO, FL US |
| Practice Office Telephone | 4077384200 |
| Mailing Address | 1723 LUCERNE TER STE 100 ORLANDO, FL 328062916 US |
| Business Telephone | 4077384200 |
| Business Fax | 4076501307 |
| Code | Practice | License No State |
|---|---|---|
| 207RC0000X PRIMARY | Access to Cardiologists Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease (Internal Medicine), Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine: Cardiovascular Disease Specialist Network Internal Medicine Cardiovascular Disease Allopathic & Osteopathic Physicians Internal Medicine | ME115814
FL |