NPI 1669437273 · live from the CMS NPI Registry
John S Anderson, D.P.M.
Podiatrist in Jacksonville, FL. National Provider Identifier 1669437273, active.
NPI record
| NPI | 1669437273 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 1914 Southside Blvd, Ste 1, Jacksonville, FL 32216 |
| Practice phone | 904-726-9901 |
| Mailing address | Po Box 44008, Ste 402, Jacksonville, FL 32231 |
| Enumerated | April 18, 2006 |
| Last updated | October 19, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | PO3024 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.