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Organization
MILES C ANDERSON, MD
Active
Organization
MILES C ANDERSON, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILES C ANDERSON MD (OWNER/MD)
(386) 328-8358
Entity
Organization
Contact information
Practice address
530 ZEAGLER DR, SUITE A, PALATKA, FL 32177-6855
(386) 328-8358
(386) 325-0365
Mailing address
530 ZEAGLER DR, SUITE A, PALATKA, FL 32177-6855
(386) 328-8358
(386) 325-0365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME81063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164403689
INDIVIDUAL NPI
FL
05
—
259553200
—
FL
Enumeration date
02/23/2015
Last updated
02/23/2015
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