Individual
DR. ANNE LOUISE CHAMPEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, MDC11, TAMPA, FL 33612-4742
(813) 974-2201
(813) 974-4280
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME93498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008875400
—
FL
01
—
14P6P
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/19/2006
Last updated
03/29/2021
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