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General NPI Number Information
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NPI Number | 1316079411
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Entity Type | Individual
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Provider Name | CHRISTOPHER MICHAEL ANDERSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 02/26/2016
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Provider Practice Location Address
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Address Line | 2501 N ORANGE AVE SUITE 200
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City | ORLANDO
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State | FL
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Zip | 32804-4603
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Country | US
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Telephone | 407-303-7265
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Fax | 407-303-7265
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Provider Business Mailing Address
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Address Line | 2501 N ORANGE AVE SUITE 200
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City | ORLANDO
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State | FL
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Zip | 32804-4603
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Country | US
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Telephone | 407-303-7265
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Fax | 407-303-7265
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | ME101934
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2009023875
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License Number State | MO
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