Anderson, Latasha

Anderson, Latasha is an individual health care provider with primary practice located at 52 W Underwood St , Orlando FL 32806-1110. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. Anderson, Latasha can be contacted via phone (321) 841-3581.

Contact Information

Primary practice address
52 W Underwood St Orlando FL 32806-1110
Phone: (321) 841-3581
Fax: (321) 841-4085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X ARNP9248074 Florida
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X APRN9248074 Florida

Profile Details

NPI number 1205298460
LBN Legal business name Anderson, Latasha
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2016
Last updated Oct 23rd, 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 1205298460 NPPES
Florida MEDICAID 017738400

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