MEDICARE: ANDERSON PRIMARY CARE ASSOCIATES, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician

General Provider Information

NPI Number	:	1588527600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDERSON PRIMARY CARE ASSOCIATES, PLLC

Provider Business Mailing Address
First Line	:	7800 66TH ST N STE 206
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33781-2101
Country	:	US
Telephone Number	:	727-541-0323
Fax Number	:	727-541-0336

Provider Business Practice Location Address
First Line	:	7800 66TH ST N STE 206
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33781-2101
Country	:	US
Telephone Number	:	727-541-0323
Fax Number	:	727-541-0336

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	RONALD DAYTON
Credential	:
Telephone Number	:	727-300-0063

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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