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Contact Information

JOHN S ANDERSON, DPM
1914 SOUTHSIDE BLVD
STE 1
JACKSONVILLE, FL32216-1930
 Phone: 904-726-9901
 Fax: 904-726-9987
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JOHN S ANDERSON · (Male)

NPI # 1669437273
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/18/2006
Last updated 10/19/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PO3024
Hospital affiliation(s)
  • SHANDS JACKSONVILLE MEDICAL CENTER - (Acute Care)
    655 W 8TH ST
    JACKSONVILLE, FL 32209
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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