Provider Demographics
NPI:1225539471
Name:ANTHONY, JOEY (DNP)
Entity type:Individual
Prefix:
First Name:JOEY
Middle Name:
Last Name:ANTHONY
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9850 STIRLING RD STE 102
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8068
Mailing Address - Country:US
Mailing Address - Phone:954-256-5155
Mailing Address - Fax:951-289-2270
Practice Address - Street 1:9850 STIRLING RD STE 102
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-8068
Practice Address - Country:US
Practice Address - Phone:954-256-5155
Practice Address - Fax:954-289-2270
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-23
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11000270363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty