Healthcare Provider Details

I. General information

NPI: 1699773739
Provider Name (Legal Business Name): DANNELL ANSCHUETZ DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 09/04/2020
Certification Date: 09/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S FEDERAL HWY STE 550
POMPANO BEACH FL
33062-7518
US

IV. Provider business mailing address

1600 S FEDERAL HWY STE 550
POMPANO BEACH FL
33062-7518
US

V. Phone/Fax

Practice location:
  • Phone: 954-907-0370
  • Fax: 954-533-8500
Mailing address:
  • Phone: 954-907-0370
  • Fax: 954-533-8500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberOS8932
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberOS8932
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: