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Individual

DR. DOUGLAS JEFFERSON ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
500 N WASHINGTON AVE, SUITE 208, TITUSVILLE, FL 32796-2759
(321) 269-3808
(321) 267-9156
Mailing address
2621 TOUPS TRL, TITUSVILLE, FL 32780-6754
(321) 383-8484

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0052042
FL

Other

Enumeration date
06/24/2006
Last updated
07/09/2007
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