Individual
ANECITA TAN-DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13610 SOUTH VILLAGE DRIVE, UNIT #312, TAMPA, FL 33618
(813) 767-2821
Mailing address
P.O. BOX 272788, TAMPA, FL 33688-2788
(813) 931-0400
(813) 931-0300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0068788
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001658400
—
FL
01
—
27543
BLUE CROSS PROV #
FL
Enumeration date
09/04/2009
Last updated
01/11/2017
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