Organization
PATRICIA J ANDERSON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA J ANDERSON M.D. (PRESIDENT)
(850) 914-8600
Entity
Organization
Contact information
Practice address
1847 FLORIDA AVE, PANAMA CITY, FL 32405-4640
(850) 914-8600
Mailing address
PO BOX 915, PANAMA CITY, FL 32402-0915
(850) 914-8600
(850) 784-7706
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME82277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261089200
—
FL
01
—
58820
BCBS FLORIDA
FL
01
—
ME82277
STATE OF FLORIDA LICENSE
FL
Enumeration date
04/22/2009
Last updated
04/22/2009
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