Individual
LATASHA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 841-3581
(321) 841-4085
Mailing address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 841-3581
(321) 841-4085
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
ARNP9248074
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
APRN9248074
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017738400
—
FL
Enumeration date
03/25/2016
Last updated
10/23/2023
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