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NPI Code Detail

MEDICARE: PATRICK ANDERSON DO

MEDICARE: PATRICK ANDERSON 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
1207P00000XEmergency Medicine PhysicianOS22050FL

General Provider Information

NPI Number : 1770225054
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK ANDERSON DO
Provider Business Mailing Address
First Line : 1776 POLK ST APT 1512
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-4693
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 S TAMIAMI TRL
Second Line :
City : SARASOTA
State : FL
Zip : 34239-3509
Country : US
Telephone Number : 941-917-2041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2022
Last Update Date : 03/12/2026

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Directions to “ PATRICK ANDERSON DO” Practice Location

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