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Organization
ROBERT ANDERSON PLLC
Active
Organization
ROBERT ANDERSON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT V ANDERSON D.O. (OWNER/PHYSICIAN)
(772) 429-0692
Entity
Organization
Contact information
Practice address
778 W MIDWAY RD, FORT PIERCE, FL 34982-4203
(772) 429-0692
(772) 429-0592
Mailing address
PO BOX 12957, FORT PIERCE, FL 34979-2957
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS6082
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80525
BLUE CROSS
FL
Enumeration date
10/19/2006
Last updated
08/22/2020
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