Miles C Anderson, MD Valid NPI

Individual provider · Internal Medicine Physician · Palm Coast, FL

NPI

1164403689

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

ME81063 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2005-11-10

Last updated

2021-11-29