MEDICARE: DR. DANNELL ANSCHUETZ DO

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	174400000X	Specialist	OS8932	FL
2	208VP0014X	Interventional Pain Medicine Physician	OS8932	FL

General Provider Information

NPI Number	:	1699773739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANNELL ANSCHUETZ DO

Provider Business Mailing Address
First Line	:	1600 S FEDERAL HWY STE 550
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-7518
Country	:	US
Telephone Number	:	954-907-0370
Fax Number	:	954-533-8500

Provider Business Practice Location Address
First Line	:	1600 S FEDERAL HWY STE 550
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-7518
Country	:	US
Telephone Number	:	954-907-0370
Fax Number	:	954-533-8500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	09/04/2020

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