Individual
ROXANNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(772) 335-4000
Mailing address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(772) 335-4000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME116135
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN#14938
FL
Other
Enumeration date
06/01/2010
Last updated
04/05/2021
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