Luis M. Anderson, M.D.

Pediatrics Physician · Saint Augustine, FL

Individual Active NPI

NPI number 1649337635

Practice location

3670 Us 1 S Ste 300b
Saint Augustine, FL 32086-6354
Phone
(904) 479-9501
Fax
(904) 217-0524

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NPI record

NPI
1649337635
Entity type
Individual (Type 1)
Enumeration date
January 2, 2007
Last updated
February 1, 2020
Certified
February 1, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X ME0089595 FL

Other practice locations (1)

  • 885 State Road 20, Interlachen, FL 32148-2430 · (863) 643-0400

About Dr. Anderson

Luis M. Anderson, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 3670 Us 1 S Ste 300b, Saint Augustine, FL 32086-6354. The NPI number 1649337635 was assigned on January 2, 2007 and the record was last updated on February 1, 2020.

Dr. Anderson lists a license in the registry: #ME0089595 (FL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Luis M. Anderson, M.D.?

The NPI number is 1649337635.

What is the phone number of Dr. Anderson?

The phone number listed for the practice location is (904) 479-9501.

Where is Dr. Anderson located?

3670 Us 1 S Ste 300b, Saint Augustine, FL 32086-6354.

What is the taxonomy code for Dr. Anderson?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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