| Doctor Name: | DR. DOCK ANDERSON |
| NPI Number: | 1356574651 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | PO3461 |
| Business Practice Address: | 1085 Kane Concourse Bay Harbor Islands, FL - 331542105 |
| Business Phone Number: | 3057461100 |
| Business Fax Number: | |
| Mailing Address: | 1085 Kane Concourse, BAY HARBOR ISLANDS |
| State: | FL |
| Postal Code: | 331542105 |
| Phone Number: | 3057461100 |
| Fax Number: | |
| NPI Enumeration Date: | 09/02/2009 |
| NPI Last Update Date: | 03/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0000X |
| License Number: | PO3461 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Sports Medicine |
| Taxonomy Definition: | |