Healthcare Provider Details

I. General information

NPI: 1952321903
Provider Name (Legal Business Name): ARLEIGH I ANCHETA D.O.P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2595 TAMPA RD STE G
PALM HARBOR FL
34684-3130
US

IV. Provider business mailing address

2595 TAMPA RD STE G
PALM HARBOR FL
34684-3130
US

V. Phone/Fax

Practice location:
  • Phone: 727-845-4999
  • Fax: 727-771-6979
Mailing address:
  • Phone: 727-845-4999
  • Fax: 727-771-6979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberC2-0024775
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberOS0007816
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberOS0007816
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: