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Individual

IAN XAVIER ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
11750 SW 40TH ST, MIAMI, FL 33175-3530
(305) 223-3000
Mailing address
9721 169TH CT N, JUPITER, FL 33478-4843
(212) 470-9482

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11017281
FL

Other

Enumeration date
01/05/2022
Last updated
01/05/2022
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