Van Der Wall, Ana Maria

Van Der Wall, Ana Maria is an individual health care provider with primary practice located at 3630 Manatee Ave W , Bradenton FL 34205-2557. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Van Der Wall, Ana Maria can be contacted via phone (941) 792-1881.

Contact Information

Primary practice address
3630 Manatee Ave W Bradenton FL 34205-2557
Phone: (941) 792-1881
Fax: (941) 795-3924
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X ME121065 Florida
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME121065 Florida

Profile Details

NPI number 1265672018
LBN Legal business name Van Der Wall, Ana Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2009
Last updated Sep 2nd, 2022 - about 3 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 1265672018 NPPES
Florida MEDICAID 013310200

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