MEDICARE: ANTHONY DAOUD

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	207R00000X	Internal Medicine Physician	OS19971	FL
2	390200000X	Student in an Organized Health Care Education/Training Program
3	208D00000X	General Practice Physician	OS19971	FL

General Provider Information

NPI Number	:	1396323432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY DAOUD

Provider Business Mailing Address
First Line	:	4620 AVENUE LONGCHAMPS
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33558-5342
Country	:	US
Telephone Number	:	813-507-3954
Fax Number	:

Provider Business Practice Location Address
First Line	:	9330 STATE ROAD 54
Second Line	:
City	:	TRINITY
State	:	FL
Zip	:	34655-1808
Country	:	US
Telephone Number	:	727-834-4000
Fax Number	:

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

Provider Enumeration Date	:	03/30/2021
Last Update Date	:	12/15/2025

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Directions to “ ANTHONY DAOUD ” Practice Location

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