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Shane Michael Anderson, PA-C
Student in an Organized Health Care Education/Training Program in Temple Terrace, Florida
NPI 1003509100

Shane Michael Anderson is a Student in an Organized Health Care Education/Training Program based in Auburn, FL. Shane Michael Anderson practices in Temple Terrace, FL and has the professional credentials of PA-C. The NPI Number for Shane Michael Anderson is 1003509100 and holds a License No. (Florida).

The current practice location address for Shane Michael Anderson is 13020 N Telecom Pkwy, Temple Terrace, FL and can be reached out via phone at 813-978-9700 and via fax at 813-558-6185.

Location: 13020 N Telecom Pkwy, Temple Terrace, FL, 95602-8134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003509100
Provider Name
Shane Michael Anderson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
13020 N Telecom Pkwy, Temple Terrace, FL, 95602-8134
Phone Number
813-978-9700
Fax Number
813-558-6185
Provider Enumeration Date
06/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13020 N Telecom Pkwy
City
Temple Terrace
State
Florida
Zip
33637-0925
Phone Number
813-978-9700
Fax Number
813-558-6185
person
Provider Business Mailing Address Details
Address
13020 N Telecom Pkwy
City
Temple Terrace
State
Florida
Zip
33637-0925
Phone Number
813-978-9700
Fax Number
813-558-6185
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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