Individual
KRISTA ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9611 W BROWARD BLVD, PLANTATION, FL 33324-2334
(954) 424-7000
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(813) 699-3995
(813) 315-1625
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.125955
OH
208000000X
Pediatrics Physician
Primary
ME146983
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108043500
—
FL
Enumeration date
06/12/2012
Last updated
07/03/2023
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