Healthcare Provider Details

I. General information

NPI: 1316854052
Provider Name (Legal Business Name): MARIA FERNANDA ANEZ RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 SOUTHBURY DR
KINDRED FL
34744-6395
US

IV. Provider business mailing address

1524 SOUTHBURY DR
KINDRED FL
34744-6395
US

V. Phone/Fax

Practice location:
  • Phone: 407-534-0450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH35512
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: