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Individual

MARIA M ANCHUNDIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
705 INGRAHAM AVE, HAINES CITY, FL 33844-4327
(866) 234-8434
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(863) 291-5110
(863) 291-5128

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
14322
PR
208000000X
Pediatrics Physician
ACN236
FL
208000000X
Pediatrics Physician
Primary
ME138675
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277505100
FL
01
92329
BCBS
FL
Enumeration date
09/14/2005
Last updated
08/31/2022
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