Individual
DR. ANTHONY JOSEPH ALLOTTA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5005 PORT ST JOHN PKWY # 2100, PARRISH MEDICAL GROUP, PORT ST JOHN, FL 32927-4305
(321) 433-2247
(321) 635-9310
Mailing address
805 CENTURY MEDICAL DR, SUITE C, TITUSVILLE, FL 32796-2100
(321) 268-6264
(321) 635-9310
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS 10417
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000821200
—
FL
Enumeration date
06/28/2007
Last updated
04/20/2021
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