Individual
DR. ANTONY G SANKOORIKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2655 STATE ROAD 580, SUITE 201, CLEARWATER, FL 33761-3167
(727) 797-7410
(727) 797-7411
Mailing address
2655 STATE ROAD 580, SUITE 201, CLEARWATER, FL 33761-3167
(727) 797-7410
(727) 797-7411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0062422
FL
207RR0500X
Rheumatology Physician
ME0062422
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25145
BCBS
FL
05
—
375377800
—
FL
01
—
P00030228
RR MEDICARE
FL
Enumeration date
05/20/2006
Last updated
07/02/2018
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