Individual
KIRSTIN E ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4302 ALTON RD, SUITE 830, MIAMI BEACH, FL 33140-2891
(305) 674-2950
(305) 674-2842
Mailing address
PO BOX 816759, HOLLYWOOD, FL 33081-0759
(305) 674-1233
(954) 964-6084
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9104911
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001067900
—
FL
Enumeration date
03/06/2009
Last updated
01/21/2011
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