DR. GARRY B ANTOINE (M.D.) – General Practice Physician, NPI 1689073819

DR. GARRY B ANTOINE (M.D.) is a healthcare provider. based in Lake mary, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. 18854 (PR). The NPI Number for DR. GARRY B ANTOINE (M.D.) is 1689073819

Main info

Male
22 Years Of Experience
Name
DR. GARRY B ANTOINE (M.D.)
NPI
1689073819
Phone
(407) 602-1100
Address
PO BOX 951306
Enumeration Date
13 August 2014
Last Update Date
18 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
40760211001004
Graduation Year
2004 (22 years ago)
PAC ID
8820301641
Group Practice PAC ID
5991059529
Professional Enrollment ID
I20150722004092
Address ID
FL328101025OR5844XTRLX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

1,466 GENERAL PRACTICE in FL

Provider Addresses for DR. GARRY B ANTOINE (M.D.)

  • PO BOX 951306

    LAKE MARY, FL 327951306

    Phone: (407) 602-1100

    Fax: (407) 219-4221

    Type: Mailing

  • 5844 N ORANGE BLOSSOM TRL

    ORLANDO, FL 328101025

    Phone: (407) 602-1100

    Fax: (407) 219-4221

    Type: Location

  • 201 Hilda St Ste 25

    Kissimmee, FL 347412359

    Phone: (407) 943-8600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150722004092IGeneral PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32795)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991059529View full group profile
NameSpecialtyState
Family PracticeFL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. GARRY B ANTOINE (M.D.)?
NPI 1689073819 is assigned to DR. GARRY B ANTOINE (M.D.) under the national enumeration system.
Is DR. GARRY B ANTOINE (M.D.)'s NPI currently valid?
The extract we use shows DR. GARRY B ANTOINE (M.D.) as active.
Does DR. GARRY B ANTOINE (M.D.) list a primary specialty?
If you are matching referrals, note General Practice Physician for DR. GARRY B ANTOINE (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. GARRY B ANTOINE (M.D.) practice in Florida?
You will see Lake Mary, Florida on file for DR. GARRY B ANTOINE (M.D.) alongside any extra practice locations.
What if Lake Mary, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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