Andersen, Krista

Andersen, Krista is an individual health care provider with primary practice located at 9611 W Broward Blvd , Plantation FL 33324-2334. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Andersen, Krista can be contacted via phone (954) 424-7000.

Contact Information

Primary practice address
9611 W Broward Blvd Plantation FL 33324-2334
Phone: (954) 424-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.125955 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME146983 Florida

Profile Details

NPI number 1932461217
LBN Legal business name Andersen, Krista
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Jul 3rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932461217 NPPES
Florida MEDICAID 108043500

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