Anzilotti, Jack Hanson

Anzilotti, Jack Hanson is an individual health care provider with primary practice located at 89 W Copeland Dr , Orlando FL 32806-2002. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Anzilotti, Jack Hanson can be contacted via phone (321) 841-7550.

Contact Information

Primary practice address
89 W Copeland Dr Orlando FL 32806-2002
Phone: (321) 841-7550
Fax: (321) 841-8185
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9113011 Florida

Profile Details

NPI number 1730711151
LBN Legal business name Anzilotti, Jack Hanson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2020
Last updated Mar 30th, 2020 - 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 1730711151 NPPES
Florida MEDICAID 105528800

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