Individual
COREY LEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1304 OAK ST, MELBOURNE, FL 32901-3111
(321) 723-4723
Mailing address
1304 OAK ST, MELBOURNE, FL 32901-3111
(321) 723-4723
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
UO1258
FL
Other
Enumeration date
11/30/2006
Last updated
06/23/2010
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