Ndabahaliye, Anicia Lyn

Ndabahaliye, Anicia Lyn is an individual health care provider with primary practice located at 3231 Mcmullen Booth Rd Fl 1 , Safety Harbor FL 34695-6607. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Ndabahaliye, Anicia Lyn can be contacted via phone (727) 725-6905.

Contact Information

Primary practice address
3231 Mcmullen Booth Rd Fl 1 Safety Harbor FL 34695-6607
Phone: (727) 725-6905
Fax: (727) 266-4931
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME116139 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME116139 Florida

Profile Details

NPI number 1851612212
LBN Legal business name Ndabahaliye, Anicia Lyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2010
Last updated Oct 3rd, 2022 - about 2 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 1851612212 NPPES
Florida MEDICAID 009077900

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