Individual
ANELEY YEGEZU HUNDAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3161 HARBOR BLVD STE A, PORT CHARLOTTE, FL 33952-6754
(941) 235-8892
(941) 883-4494
Mailing address
3161 HARBOR BLVD STE A, PORT CHARLOTTE, FL 33952-6754
(941) 235-8892
(941) 883-4494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME106485
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME106485
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101320800
—
FL
Enumeration date
11/09/2007
Last updated
01/23/2019
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