Individual
IAN GERARD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
H.A.S
Contact information
Practice address
5602 CORTEZ RD W, BRADENTON, FL 34210-2819
(941) 761-3044
Mailing address
4472 31ST AVE N, ST PETERSBURG, FL 33713-2112
(941) 685-6794
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS-5217
FL
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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