Individual
MATTHEW L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3603
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME137699
FL
207VX0201X
Gynecologic Oncology Physician
K9716
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045534703
—
TX
05
—
100761000
—
FL
01
—
KJGA3
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/18/2006
Last updated
11/01/2018
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