MEDICARE: ANTHONY F INFANTE 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	207XX0801X	Orthopaedic Trauma Physician	OS7717	FL
2	207X00000X	Orthopaedic Surgery Physician	OS7717	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	2000371774	OTHER	FL	MEDICARE RAIL ROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	44753	OTHER	FL	BLUE CROSS/BLUE SHIELD
2	250979	OTHER	FL	AVMED
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	2494521	OTHER	FL	CIGNA
6	5435637	OTHER	FL	AETNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720083454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY F INFANTE DO

Provider Business Mailing Address
First Line	:	13020 N TELECOM PKWY
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33637-0925
Country	:	US
Telephone Number	:	813-978-9700
Fax Number	:	813-972-5055

Provider Business Practice Location Address
First Line	:	959 DEL WEBB BLVD E
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-6672
Country	:	US
Telephone Number	:	813-978-9700
Fax Number	:	813-972-5055

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	10/12/2017

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Directions to “ ANTHONY F INFANTE DO” Practice Location

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