Dr. Luis M Anderson, M.D.
Pediatrics in Saint Augustine, FL. Individual provider (NPI-1).
NPI number1649337635
StatusActive
Last updated in NPPESFeb 1, 2020
Details
- NPI
- 1649337635
- Entity type
- Individual (NPI-1)
- Name
- Dr. Luis M Anderson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2007
- Certification date
- Feb 1, 2020
- Last updated
- Feb 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | ME0089595 | FL | Yes |
Practice location
3670 Us 1 S Ste 300bSaint Augustine, FL 32086-6354
Phone 904-479-9501 · Fax 904-217-0524
Mailing address
3670 Us 1 S Ste 300bSaint Augustine, FL 32086-6354
Phone 904-479-9501 · Fax 904-217-0524
Other practice locations
885 State Road 20
Interlachen, FL 32148-2430
Interlachen, FL 32148-2430
Phone 863-643-0400 · Fax 386-350-0398
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