Individual
DR. AXEL WILLIAM ANDERSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 17TH ST, SUITE 2, SAINT CLOUD, FL 34769-6098
(407) 891-2951
(407) 891-2952
Mailing address
2900 17TH ST, SUITE 2, SAINT CLOUD, FL 34769-6098
(407) 891-2951
(407) 891-2952
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME43875
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47682Z
MEDICARE
FL
01
—
G08749
UPIN
FL
Enumeration date
01/26/2007
Last updated
09/04/2013
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