Organization
ANISTA CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM WELTER (CHAIRMAN)
(305) 724-6421
Entity
Organization
Contact information
Practice address
10718 COUNTRYWAY BLVD, TAMPA, FL 33626-1733
(813) 855-4000
(813) 855-4004
Mailing address
10718 COUNTRYWAY BLVD, TAMPA, FL 33626-1733
(813) 855-4000
(813) 855-4004
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2011
Last updated
06/22/2011
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