Individual
ANTHONY LENNON THEBAUT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7305 N MILITARY TRL, RIVIERA BEACH, FL 33410-7417
(561) 422-5781
Mailing address
12980 N SHORE DR, WEST PALM BEACH, FL 33410-1334
(561) 622-6005
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21023
FL
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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