Individual
ANETHA MOORTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 778-0444
(813) 355-5084
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME115360
FL
208M00000X
Hospitalist Physician
ME115360
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010505800
—
FL
Enumeration date
04/24/2007
Last updated
08/26/2021
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