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Individual

MR. ANAND DAVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
Mailing address
2119 MARY LN, PALM HARBOR, FL 34685-2110
(516) 459-5092

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0011335
NY
363A00000X
Physician Assistant
Primary
12413
GA
363A00000X
Physician Assistant
PA-1078
AR
363A00000X
Physician Assistant
PA9109622
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102421100
FL
01
N2UFP
BCBS
FL
Enumeration date
10/25/2006
Last updated
07/22/2024
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