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General NPI Number Information
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NPI Number | 1164387007
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Entity Type | Organization
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Legal Business Name | ANCHOR INTERNAL MEDICINE
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 650 S COURTENAY PKWY STE 100
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-4977
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Country | US
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Telephone | 321-420-1555
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Fax | 321-208-8782
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Provider Business Mailing Address
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Address Line | 650 S COURTENAY BLVD STE 100
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-4977
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Country | US
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Telephone | 321-420-1555
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Fax | 321-208-8782
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Authorized Official
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Title or Position | MD OWNER
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Name | DAVID MARTIN
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Credential |
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Telephone | 321-420-1555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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