Doctor Name: | JOHN E ANTHOUSIS |
NPI Number: | 1508926940 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME39480 |
Business Practice Address: | 600 Sw 10th St Ste 202 Ocala, FL - 344742600 |
Business Phone Number: | 3523512202 |
Business Fax Number: | 3523512422 |
Mailing Address: | 18552 Kingbird Dr, LUTZ |
State: | FL |
Postal Code: | 335582708 |
Phone Number: | 3523512202 |
Fax Number: | 3523512422 |
NPI Enumeration Date: | 12/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME39480 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |