SearchFlorida171M00000X

Anthony Anderson

NPI 1548723356 · on the registry since 2019

Practice

Address
55 Bluff Lake Rd
Mascotte, FL 34753
Phone
(352) 460-6093
Fax
(352) 366-0230
Organisation at this address
Redefining Abilities Llc
Life Change Outreach Organization, Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-04-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida