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Individual

DR. BRIAN L. ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
1106 DRUID RD S, SUITE 302, CLEARWATER, FL 33756-3846
(727) 441-3711
Mailing address
PO BOX 223834, PITTSBURGH, PA 15251-2834
(727) 793-9300
(727) 793-0052

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME91472
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271625900
FL
01
50115
BC BS OF FLORIDA
FL
01
P00199908
RR MEDICARE
FL
Enumeration date
10/24/2005
Last updated
09/10/2012
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