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Contact Information

ANTHONY J ALLOTTA III, DO
5005 PORT ST JOHN PKWY # 2100
PARRISH MEDICAL GROUP
PORT SAINT JOHN, FL32927-4305
 Phone: 321-433-2247
 Fax: 321-635-9310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ANTHONY J ALLOTTA III · (Male)

NPI Number 1285831743
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/28/2007
Last updated 04/20/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS 10417
  • FL Medicaid 000821200
Hospital affiliation(s)
  • PARRISH MEDICAL CENTER - (Acute Care)
    951 N WASHINGTON AVE
    TITUSVILLE, FL 32796
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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