Provider Demographics
NPI:1316680382
Name:CONFORTI, ANTHONY RENE (DO)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:RENE
Last Name:CONFORTI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1600 SW ARCHER RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-3003
Mailing Address - Country:US
Mailing Address - Phone:352-733-1234
Mailing Address - Fax:352-627-4501
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3003
Practice Address - Country:US
Practice Address - Phone:352-733-1234
Practice Address - Fax:352-627-4501
Is Sole Proprietor?:No
Enumeration Date:2022-04-18
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS22215207R00000X
VA0116036669207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine