Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Roosevelt Washington III, MD

Individual provider Family Medicine Physician · NPI 1093002768

Anthony Roosevelt Washington III, MD is a Family Practice in Tampa, Florida. Qualified in 2011, 15 years ago. Practices with St Mark Village Inc, a 15-clinician group and works from 4 locations. Licensed in Florida, Maine, Minnesota and Mississippi and 1 more.

Years since qualifying
15
Licensed in
FL, ME, MN, MS, TN
In the registry since
2011
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13608 W Hillsborough Ave
Tampa, FL 33635
Phone: (813) 749-0167
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3908 Flatiron Loop Unit 101, Wesley Chapel, FL 33544-7828 — (813) 779-6303
  • 123 Medical Center Dr Ste 600, Brunswick, ME 04011-2652 — (207) 373-6000
  • 559 Capitol Blvd, Saint Paul, MN 55103-2101 — (651) 326-2400

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME118205 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 64989 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 816-L (MS)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD23047 (ME)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD0000058679 (TN)

Record details

NPI number1093002768
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2011
Last updated in NPPESMay 20, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Mark Village Inc — 15 clinicians
Accepts Medicare assignment Not indicated

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