MEDICARE: ARLEIGH I ANCHETA D O P A

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	207V00000X	Obstetrics & Gynecology Physician	OS0007816	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
3	1952321903	OTHER	FL	NPI
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699974865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARLEIGH I ANCHETA D O P A

Provider Business Mailing Address
First Line	:	2595 TAMPA RD STE G
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3130
Country	:	US
Telephone Number	:	727-845-4999
Fax Number	:	727-771-6979

Provider Business Practice Location Address
First Line	:	2595 TAMPA RD STE G
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3130
Country	:	US
Telephone Number	:	727-845-4999
Fax Number	:	727-771-6979

Authorized Official
Title or Position	:	PRESIDENT/PHYSICIAN/OWNER
Name	:	DR. ARLEIGH I ANCHETA
Credential	:	D.O.
Telephone Number	:	727-845-4999

Provider Enumeration Date	:	07/17/2007
Last Update Date	:	04/14/2025

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Directions to “ARLEIGH I ANCHETA D O P A ” Practice Location

Language	Start Address	Practice Location

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