Individual
RYAN JOHN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1720 S ORANGE AVE, ORLANDO, FL 32806-2945
(321) 842-9000
(321) 842-9368
Mailing address
1720 S ORANGE AVE, ORLANDO, FL 32891-2932
(321) 842-9000
(321) 842-9368
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9118182
FL
Other
Enumeration date
02/11/2014
Last updated
12/06/2023
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