Provider Demographics
NPI:1881623122
Name:PANNOZZO, ANTHONY NICHOLAS (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:NICHOLAS
Last Name:PANNOZZO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:16244 MILITARY TRL
Mailing Address - Street 2:#740
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6534
Mailing Address - Country:US
Mailing Address - Phone:561-381-5800
Mailing Address - Fax:561-381-5003
Practice Address - Street 1:16244 MILITARY TRL
Practice Address - Street 2:#740
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6534
Practice Address - Country:US
Practice Address - Phone:561-381-5800
Practice Address - Fax:561-381-5003
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2008-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME879102081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine