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NPI Code Detail

MEDICARE: CYNTHIA B ANDERS P.A.

MEDICARE: CYNTHIA B ANDERS P.A.
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
1363AS0400XSurgical Physician AssistantPA9101258FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972502714
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA B ANDERS P.A.
Provider Business Mailing Address
First Line : 6420 NW 9TH BLVD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32605-4203
Country : US
Telephone Number : 352-331-2332
Fax Number : 352-331-6515
Provider Business Practice Location Address
First Line : 12880 COMMODITY PL
Second Line :
City : TAMPA
State : FL
Zip : 33626-3101
Country : US
Telephone Number : 877-468-2211
Fax Number : 877-868-4888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 06/19/2017

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Directions to “ CYNTHIA B ANDERS P.A.” Practice Location

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