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Individual

ANTHONY P PREVITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1820 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308-3725
(954) 202-0205
Mailing address
1820 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308-3725
(954) 202-0205

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME41525
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
068003699
FL
Enumeration date
07/17/2006
Last updated
03/25/2015
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