Anderson, Miles C

Anderson, Miles C is an individual health care provider with primary practice located at 21 Hospital Dr Ste 125 , Palm Coast FL 32164-2455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Anderson, Miles C can be contacted via phone (386) 586-7005.

Contact Information

Primary practice address
21 Hospital Dr Ste 125 Palm Coast FL 32164-2455
Phone: (386) 586-7005
Fax: (844) 867-3940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME81063 Florida

Profile Details

NPI number 1164403689
LBN Legal business name Anderson, Miles C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Nov 29th, 2021 - about 4 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 1164403689 NPPES
Florida MEDICAID 259553200
Florida Other 35931
Florida Other P00046074

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