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Individual

DR. ADAM WILLIAM ANZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1040 GULF BREEZE PKWY, SUITE 200, GULF BREEZE, FL 32561-7809
(850) 916-3700
(850) 916-3710
Mailing address
1040 GULF BREEZE PKWY, SUITE 200, GULF BREEZE, FL 32561-7809
(850) 916-3700
(850) 916-3710

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
49686
CO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME113631
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006470900
FL
01
14M50
BLUE CROSS BLUE SHIELD
FL
01
593-09587
BLUE CROSS BLUE SHIELD
AL
Enumeration date
11/28/2007
Last updated
12/10/2012
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