Provider Demographics
NPI:1629077243
Name:SEBBA, ANTHONY I (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:I
Last Name:SEBBA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33920 US HIGHWAY 19 NORTH
Mailing Address - Street 2:SUITE 241
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684
Mailing Address - Country:US
Mailing Address - Phone:727-773-9793
Mailing Address - Fax:727-773-0674
Practice Address - Street 1:33920 US HIGHWAY 19 NORTH
Practice Address - Street 2:SUITE 241
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684
Practice Address - Country:US
Practice Address - Phone:727-773-9793
Practice Address - Fax:727-773-0674
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0070361207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL31669Medicare ID - Type Unspecified
B19196Medicare UPIN