Individual
DR. PATRICIA J ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1847 FLORIDA AVE, PANAMA CITY, FL 32405-4640
(850) 890-1719
Mailing address
2507 HARRISON AVE., SUITE 101, PANAMA CITY, FL 32405
(850) 215-5911
(850) 914-3004
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME82277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261089200
—
FL
01
—
390007574
RRB PTAN
—
Enumeration date
06/22/2005
Last updated
04/18/2018
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