MEDICARE: DR. ANTHONY SOZIO ROSSI DO

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	208600000X	Surgery Physician	OS12093	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

General Provider Information

NPI Number	:	1811153737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY SOZIO ROSSI DO

Provider Business Mailing Address
First Line	:	PO BOX 743409
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-3409
Country	:	US
Telephone Number	:	727-532-0002
Fax Number	:	727-532-1325

Provider Business Practice Location Address
First Line	:	1601 W TIMBERLANE DR
Second Line	:	SUITE 100
City	:	PLANT CITY
State	:	FL
Zip	:	33566-0959
Country	:	US
Telephone Number	:	813-708-1312
Fax Number	:	813-443-8147

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

Provider Enumeration Date	:	07/30/2008
Last Update Date	:	01/11/2016

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