Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Davidson Antenor, MD

Individual provider Family Nurse Practitioner · NPI 1720527815

Dr. Davidson Antenor, MD is a Nurse Practitioner in Orlando, Florida. Qualified in 2012, 14 years ago. Practices with Kopa LLC, a 39-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

453 N Kirkman Rd Ste 203
Orlando, FL 32811-1109
Phone: (407) 914-2325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11040085 (FL)

Record details

NPI number1720527815
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 22, 2017
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address1063 S Hiawassee Rd Apt 1614, Orlando, FL 32835-1827

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Kopa Llc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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