Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | ME110856 | FL |
N | 207RA0201X | Internist - Allergy & Immunology | LL26020 | SC |
NPI | 1821218280 |
---|---|
Provider Name | Dr. Harleen K Anderson |
First Address | Winter Park, FL 32792-2228 |
Second Address | Winter Park, FL 32792-2228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 03/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006612700 | (05) | FL |