Individual
MR. ANTHONY KENRICK MAHARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5000 GLEN COE ST, LEESBURG, FL 34748-7756
(386) 837-3376
Mailing address
5000 GLEN COE ST, LEESBURG, FL 34748-7756
(386) 837-3376
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT12940
FL
363A00000X
Physician Assistant
Primary
PA9107455
FL
Other
Enumeration date
09/08/2013
Last updated
06/03/2026
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