Individual
PHILIP H ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13801 BRUCE B DOWNS BLVD, SUITE 506, TAMPA, FL 33613
(813) 977-2200
(813) 971-7962
Mailing address
13801 BRUCE B DOWNS BLVD, SUITE 506, TAMPA, FL 33613
(813) 977-2200
(813) 971-7962
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME 13887
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069804100
—
FL
01
—
219645
AVMED
—
01
—
29647
BCBS
—
Enumeration date
09/22/2006
Last updated
06/23/2011
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