Individual
ANTHONY JOSEPH ANFUSO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13691 METRO PKWY STE 300, FORT MYERS, FL 33912-4322
(239) 291-6970
(239) 522-4288
Mailing address
6321 DANIELS PKWY STE 200, FORT MYERS, FL 33912-4773
(239) 291-6970
(239) 264-1236
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME118346
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011848700
—
FL
01
—
1035847
WELLCARE
FL
01
—
14W4S
BCBS
FL
01
—
1566218
COVENTRY
FL
01
—
375100
AVMED
FL
01
—
4928705
AETNA
FL
01
—
75121240
PRESTIGE HEALTH CHOICE
FL
01
—
9280321
CIGNA
FL
01
—
P01520280
RAILROAD MEDICARE
FL
01
—
P1023983
FREEDOM
FL
01
—
P962129
OPTIMUM
FL
Enumeration date
03/28/2009
Last updated
04/24/2023
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