Individual provider · Type 1 NPI
James L. Andersen, MD
Addiction Medicine (Preventive Medicine) Physician · Eagle Lake, FL
NPI number
1104047695
Active
Practice location
805 Crystal Beach Road
Eagle Lake, FL 33839
Fax (863) 683-9180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | ME0024931 (FL) |
| Basic Emergency Medical Technician | 146N00000X | ME0024931 (FL) |
Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
About NPI 1104047695
James L. Andersen, MD's National Provider Identifier is 1104047695, issued on May 1, 2007. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Eagle Lake, FL. The record was last updated on Nov 14, 2024.