Individual
TIFFANY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1515 SW ARCHER RD, GAINESVILLE, FL 32608-1134
(352) 265-0646
Mailing address
PO BOX 100286, GAINESVILLE, FL 32610-0286
(352) 265-0761
(352) 265-1060
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME156951
FL
2086S0102X
Surgical Critical Care Physician
Primary
ME156951
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2014
Last updated
08/16/2022
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