Healthcare Provider Details

I. General information

NPI: 1871870444
Provider Name (Legal Business Name): ANDERSON BRANNAN CONSULTANTS, PL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5310 CLARK RD STE 201
SARASOTA FL
34233-3229
US

IV. Provider business mailing address

5310 CLARK RD STE 201
SARASOTA FL
34233-3229
US

V. Phone/Fax

Practice location:
  • Phone: 941-925-3627
  • Fax: 941-925-1591
Mailing address:
  • Phone: 941-925-3627
  • Fax: 941-925-1591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME 102351
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME102185
License Number StateFL

VIII. Authorized Official

Name: MRS. LANDY WELLS
Title or Position: BILLING MANAGER
Credential:
Phone: 941-925-3627