Healthcare Provider Details

I. General information

NPI: 1588527600
Provider Name (Legal Business Name): ANDERSON PRIMARY CARE ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 66TH ST N STE 206
PINELLAS PARK FL
33781-2101
US

IV. Provider business mailing address

7800 66TH ST N STE 206
PINELLAS PARK FL
33781-2101
US

V. Phone/Fax

Practice location:
  • Phone: 727-541-0323
  • Fax: 727-541-0336
Mailing address:
  • Phone: 727-541-0323
  • Fax: 727-541-0336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RONALD DAYTON
Title or Position: BILLING MANAGER
Credential:
Phone: 727-300-0063