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
Fax: (813) 971-7962
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255430310 NPPES
Other 219645 AVMED
Other 29647 AVMED
MEDICAID 069804100 AVMED

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