Doctor Name: | MICHAEL ANGELO ANDERSON |
NPI Number: | 1689743460 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | EMT-P |
License Number: | PMD510306 |
Business Practice Address: | 618 Scenic St Leesburg, FL - 347486226 |
Business Phone Number: | 3523036143 |
Business Fax Number: | 3527283719 |
Mailing Address: | 618 Scenic St, LEESBURG |
State: | FL |
Postal Code: | 347486226 |
Phone Number: | 3523036143 |
Fax Number: | 3527283719 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171W00000X |
License Number: | PMD510306 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |