MEDICARE: ANTHONY LOMBARDO M.D.

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	207X00000X	Orthopaedic Surgery Physician	ME55321	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	4099183	OTHER	FL	AETNA
3	1659553	OTHER	FL	CIGNA
4	08755	OTHER	FL	FLORIDA BLUE
5	34546	OTHER	FL	COVENTRY
6	265608	OTHER	FL	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1750382289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY LOMBARDO M.D.

Provider Business Mailing Address
First Line	:	240 N WICKHAM RD STE 108
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-8663
Country	:	US
Telephone Number	:	321-255-8181
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 N WICKHAM RD STE 108
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-8663
Country	:	US
Telephone Number	:	321-255-8181
Fax Number	:

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	03/31/2025

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Directions to “ ANTHONY LOMBARDO M.D.” Practice Location

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