Provider Demographics
NPI:1013104645
Name:ANITA GARIB-SANKAR, MD PA
Entity Type:Organization
Organization Name:ANITA GARIB-SANKAR, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARIB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-422-1003
Mailing Address - Street 1:3319 STATE ROAD 7
Mailing Address - Street 2:STE 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:561-370-6098
Practice Address - Street 1:3319 STATE ROAD 7
Practice Address - Street 2:STE 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:561-370-6098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-27
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84607305R00000X, 305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
No305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5610Medicare PIN