Individual provider · Type 1 NPI

Shane Michael Anderson, PA-C

Physician Assistant · Temple Terrace, FL

NPI number 1003509100 Active

Practice location

5901 E Fowler Ave Ste 100
Temple Terrace, FL 33617-2305

Call (813) 978-9700 Map

Fax (813) 558-6185

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003509100

Shane Michael Anderson, PA-C's National Provider Identifier is 1003509100, issued on Jun 2, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Temple Terrace, FL. The record was last updated on Mar 26, 2025.