NPI 1013694827

Anton van Anderson

Practitioner Driver Tallahassee, FL

Practice location

Address: 2409 McWest St, Tallahassee, FL 32303-7119
Phone: (850) 264-8912

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence L23000303921 (FL)

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Registry record

NPI: 1013694827
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2023
Record last updated: 3 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.