Individual
GEORGINA EVELYN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 BAYVIEW DR STE 100, FORT LAUDERDALE, FL 33306-1772
(954) 567-1332
(561) 537-2721
Mailing address
PO BOX 20800, BELFAST, ME 04915-4105
(888) 402-7256
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11008198
FL
363L00000X
Nurse Practitioner
Primary
APRN11008198
FL
363LF0000X
Family Nurse Practitioner
11008198
FL
Other
Enumeration date
09/14/2020
Last updated
07/29/2026
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