| Anthony Shydohub Md Pa | |
|
4850 Sun N Lake Blvd Sebring FL 33872-2110 | |
| (863) 382-6088 | |
| (863) 382-9424 |
| Full Name | Anthony Shydohub Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4850 Sun N Lake Blvd, Sebring, Florida |
| Authorized Official Name and Position | Anthony Andrew Shydohub (DOCTOR) |
| Authorized Official Contact | 8633826088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Shydohub Md Pa 4850 Sun N Lake Blvd Sebring FL 33872-2110 Ph: (863) 382-6088 | Anthony Shydohub Md Pa 4850 Sun N Lake Blvd Sebring FL 33872-2110 Ph: (863) 382-6088 |
| NPI Number | 1972662286 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6608972021 |
|---|---|
| Medicare Enrollment ID | O20070502000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972662286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME0061680 (Florida) | Primary |
| Provider Name | Anthony A Shydohub |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275569899 PECOS PAC ID: 5890891212 Enrollment ID: I20070502000019 |
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