Provider Demographics
NPI:1801841192
Name:GARIB-SANKAR, ANITA (MD)
Entity Type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:
Last Name:GARIB-SANKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3319 STATE ROAD 7
Mailing Address - Street 2:SUITE 113
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33449-8094
Mailing Address - Country:US
Mailing Address - Phone:561-422-1003
Mailing Address - Fax:561-422-1077
Practice Address - Street 1:3319 STATE ROAD 7
Practice Address - Street 2:SUITE 113
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33449-8094
Practice Address - Country:US
Practice Address - Phone:561-422-1003
Practice Address - Fax:561-422-1077
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84607207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL269259700Medicaid
FLH67297Medicare UPIN
FL269259700Medicaid