Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | OS12751 | FL |
NPI | 1023264868 |
---|---|
Provider Name | Dr. Steven Raymond Anthony |
First Address | Port Charlotte, FL 33948-1018 |
Second Address | Port Charlotte, FL 33948-1018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2008 |
Last Update Date | 10/09/2014 |