# ANISTA NEW TAMPA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205116829
- **Authorized official:** WILLIAM LLOYD WELTER III ATTORNEY (CO-OWNER)
- **Authorized official phone:** (813) 972-2900

## Contact information

- **Practice address:** 18101 HIGHWOODS PRESERVE PKWY, SUITE 120, TAMPA, FL 33647-1791
- **Practice address phone:** (813) 972-2900
- **Practice address fax:** (813) 972-2910
- **Mailing address:** 18101 HIGHWOODS PRESERVE PKWY, SUITE 120, TAMPA, FL 33647-1791
- **Mailing address phone:** (813) 972-2900
- **Mailing address fax:** (813) 972-2910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2011
- **Last updated:** 02/13/2012