Healthcare Provider Details

I. General information

NPI: 1326088998
Provider Name (Legal Business Name): RHYS J ANDERSON CTRS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 01/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 SW ARCHER RD
GAINESVILLE FL
32608-1135
US

IV. Provider business mailing address

15215 NW 150TH AVE #1027
ALACHUA FL
32615-5531
US

V. Phone/Fax

Practice location:
  • Phone: 352-376-1611
  • Fax:
Mailing address:
  • Phone: 706-210-8323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number25316
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: