Individual
WILLIAM ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4742
(813) 974-7824
(813) 979-3606
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME35723
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039951500
—
FL
01
—
18140
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/04/2006
Last updated
03/30/2021
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