Individual
MR. ANTON VAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2409 MCWEST ST, TALLAHASSEE, FL 32303-7119
(850) 264-8912
Mailing address
2409 MCWEST ST, TALLAHASSEE, FL 32303-7119
(850) 264-8912
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
L23000303921
FL
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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