Anista Corporation

NPI 1184904252 - Family Medicine - 207Q00000X

NPI Details
NPI 1184904252
Enumeration Date 08/22/2011
Last Updated 08/29/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name WILL WILL
Position CEO
Phone (813) 855-4000
Fax
Practice Location
10718 COUNTRYWAY BLVD
TAMPA FL, 33626-1733, US
Phone (813) 855-4000
Fax
Business Location
10718 COUNTRYWAY BLVD
TAMPA FL, 33626-1733, US
Phone (813) 855-4000
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME92268
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According to our database, Anista Corporation NPI is 1184904252, taxonomy code is 207Q00000X and license number is ME92268, license state is located at Florida. Anista Corporation physically located at 10718 Countryway Blvd, Tampa FL, 33626-1733. NPI Number 1033115704 has the healthcare provider type.

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1184904252 NPI number is provided on an as is basis without warranty of any kind. 1184904252 is maintained by the National Plan & Provider Enumeration System. The contents of Anista Corporation are for informational purposes only.