Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | ME106755 | FL |
NPI | 1003010844 |
---|---|
Provider Name | Dr. Antonino Insana |
First Address | St Petersburg, FL 33709-2114 |
Second Address | St Petersburg, FL 33709-2114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 08/04/2011 |