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General NPI Number Information
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NPI Number | 1104032176
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Entity Type | Organization
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Legal Business Name | ANDERSON ALLERGY AND ASTHMA, PA
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 63 W UNDERWOOD ST
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City | ORLANDO
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State | FL
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Zip | 32806-1118
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Country | US
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Telephone | 407-872-1110
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Fax | 407-839-4869
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Provider Business Mailing Address
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Address Line | 63 W UNDERWOOD ST
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City | ORLANDO
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State | FL
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Zip | 32806-1118
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Country | US
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Telephone | 407-872-1110
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Fax | 407-839-4869
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL WARREN ANDERSON
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Credential | M.D.
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Telephone | 407-872-1110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME46655
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME 7956
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9100990
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License Number State | FL
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