Individual
MR. DAVID MICHAEL ANDERSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 N ELM AVE STE 102, SANFORD, FL 32771-1272
(407) 878-0048
(407) 878-7099
Mailing address
204 N ELM AVE STE 102, SANFORD, FL 32771-1272
(407) 878-0048
(407) 878-7099
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
30212329
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105053600
—
FL
Enumeration date
01/06/2023
Last updated
01/06/2023
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