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NPI Code Detail

MEDICARE: DANIKA SUSAN ANDERSON D.P.M

MEDICARE:   DANIKA SUSAN ANDERSON  D.P.M
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
1213ES0103XFoot & Ankle Surgery PodiatristPO4616FL

General Provider Information

NPI Number : 1811627953
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIKA SUSAN ANDERSON D.P.M
Provider Business Mailing Address
First Line : 1710 LISENBY AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-3730
Country : US
Telephone Number : 850-999-5837
Fax Number :
Provider Business Practice Location Address
First Line : 1710 LISENBY AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-3730
Country : US
Telephone Number : 850-999-5837
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2022
Last Update Date : 07/23/2025

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