Healthcare Provider Details

I. General information

NPI: 1497934376
Provider Name (Legal Business Name): ANCHOR HEALTH CENTERS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2007
Last Update Date: 01/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3021 AIRPORT PULLING RD N SUITE 103
NAPLES FL
34105-3077
US

IV. Provider business mailing address

3021 AIRPORT PULLING RD N SUITE 103
NAPLES FL
34105-3077
US

V. Phone/Fax

Practice location:
  • Phone: 239-430-2929
  • Fax: 239-430-2934
Mailing address:
  • Phone: 239-430-2929
  • Fax: 239-430-2934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: GAIL MURPHY
Title or Position: CENTRAL BILLING MANAGER
Credential:
Phone: 239-436-2839