Individual provider · NPI-1

Troy Anderson

Prosthetic/Orthotic Supplier · Lakeland, FL

NPI number1538544846
StatusActive
Last updated in NPPESJul 28, 2015

Details

NPI
1538544846
Entity type
Individual (NPI-1)
Name
Troy Anderson
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 28, 2015
Last updated
Jul 28, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic SupplierORT267FLYes

Practice location

2606 Lakeland Hills Blvd
Lakeland, FL 33805-2218

Phone 863-937-9200 · Fax 863-937-9199

Mailing address

2606 Lakeland Hills Blvd
Lakeland, FL 33805-2218

Phone 863-937-9200 · Fax 863-937-9199

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