# ANISTA CORPORATION

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

## Provider details

- **NPI number:** 1689968596
- **Authorized official:** WILLIAM WELTER (CHAIRMAN)
- **Authorized official phone:** (305) 724-6421

## Contact information

- **Practice address:** 10718 COUNTRYWAY BLVD, TAMPA, FL 33626-1733
- **Practice address phone:** (813) 855-4000
- **Practice address fax:** (813) 855-4004
- **Mailing address:** 10718 COUNTRYWAY BLVD, TAMPA, FL 33626-1733
- **Mailing address phone:** (813) 855-4000
- **Mailing address fax:** (813) 855-4004

## Taxonomy

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

## Other

- **Enumeration date:** 06/08/2011
- **Last updated:** 06/22/2011