Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OPC2160 | FL |
N | 152WS0006X | Sports Vision | OPC2160 | FL |
N | 152WX0102X | Occupational Vision | OPC2160 | FL |
NPI | 1306985916 |
---|---|
Provider Name | Dr. Steven Mark Anhalt |
First Address | Davie, FL 33330-4633 |
Second Address | Cooper City, FL 33328-3309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 26/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T77519 | (02) | FL |