Andersen, Philip H
Andersen, Philip H is an individual health care provider with primary practice located at 13801 Bruce B Downs Blvd Suite 506, Tampa FL 33613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Andersen, Philip H can be contacted via phone (813) 977-2200.Contact Information
Primary practice address
13801 Bruce B Downs Blvd Suite 506
Tampa FL 33613
Phone: (813) 977-2200
Fax: (813) 971-7962
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME 13887 | Florida |
Profile Details
NPI number | 1255430310 |
---|---|
LBN Legal business name | Andersen, Philip H |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 22nd, 2006 |
Last updated | Jun 23rd, 2011 - about 14 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255430310 | NPPES |
Other | 219645 | AVMED | |
Other | 29647 | AVMED | |
MEDICAID | 069804100 | AVMED |
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