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Contact Information

THERESE F ANDERSON, MD
MAYO CLINIC, CANNADAY BUILDING, 4500 SAN PABLO ROAD
THREE EAST
JACKSONVILLE, FL32224
 Phone: 904-953-6722
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for THERESE F ANDERSON · (Female)

NPI Number 1023398575
Status Active
Credentials MD
Entity Individual
Enumeration date 08/27/2011
Last updated 09/01/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME138478
Hospital affiliation(s)
  • MAYO CLINIC - (Acute Care)
    4500 SAN PABLO RD
    JACKSONVILLE, FL 32224
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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