Individual
JOSEPH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8380 RIVERWALK PARK BLVD STE 100, FORT MYERS, FL 33919-8758
(239) 343-9960
(239) 343-9977
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9960
(239) 343-9977
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
LL39503
SC
2086S0129X
Vascular Surgery Physician
Primary
ME150746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117278900
—
FL
01
—
ME150746
MEDICAL LICENSE
FL
Enumeration date
06/11/2016
Last updated
03/30/2026
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