Provider Demographics
NPI:1811153737
Name:ROSSI, ANTHONY SOZIO (DO)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:SOZIO
Last Name:ROSSI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 743409
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3409
Mailing Address - Country:US
Mailing Address - Phone:727-532-0002
Mailing Address - Fax:727-532-1325
Practice Address - Street 1:1601 W TIMBERLANE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33566-0959
Practice Address - Country:US
Practice Address - Phone:813-708-1312
Practice Address - Fax:813-443-8147
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2016-01-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS12093208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008572300Medicaid
FLHF482YMedicare PIN