MEDICARE: ANTHONY N STRIPPOLI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	ME92814	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104859420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY N STRIPPOLI MD

Provider Business Mailing Address
First Line	:	PO BOX 740177
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33474-0177
Country	:	US
Telephone Number	:	561-740-2900
Fax Number	:	561-434-0598

Provider Business Practice Location Address
First Line	:	2800 S SEACREST BLVD
Second Line	:	SUITE 240
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7960
Country	:	US
Telephone Number	:	561-732-2900
Fax Number	:	561-740-9064

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	01/19/2017

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