Healthcare Provider Details

I. General information

NPI: 1952580490
Provider Name (Legal Business Name): ANCHOR HEALTH CENTERS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2007
Last Update Date: 01/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 TAMIAMI TRL N SUITE 2
NAPLES FL
34102-6203
US

IV. Provider business mailing address

150 TAMIAMI TRL N SUITE 2
NAPLES FL
34102-6203
US

V. Phone/Fax

Practice location:
  • Phone: 239-434-0009
  • Fax: 239-262-3374
Mailing address:
  • Phone: 239-434-0009
  • Fax: 239-262-3374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License Number
License Number State

VIII. Authorized Official

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