Individual
JOY A ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1325 ATLANTIC AVE, FERNANDINA, FL 32034-3247
(904) 261-3653
Mailing address
1325 ATLANTIC AVE, FERNANDINA, FL 32034-3247
(904) 261-3653
(904) 261-7790
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 3335
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6371320001
MEDICARE PTAN
FL
Enumeration date
01/07/2008
Last updated
09/29/2010
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