Provider Demographics
NPI:1669446613
Name:SARANITA, ANTHONY D (DPM)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:D
Last Name:SARANITA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3165 MCCRORY PL
Mailing Address - Street 2:STE 174
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-3727
Mailing Address - Country:US
Mailing Address - Phone:407-423-1234
Mailing Address - Fax:407-517-1040
Practice Address - Street 1:1381 CITRUS TOWER BLVD
Practice Address - Street 2:STE 103
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1957
Practice Address - Country:US
Practice Address - Phone:352-243-7066
Practice Address - Fax:352-243-7068
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2020-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPO 2917213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL340545100Medicaid
FLP00268315OtherR/R MEDICARE
FLU85767Medicare UPIN
FL65702XMedicare PIN
FL340545100Medicaid