Provider Demographics
NPI:1346772837
Name:ANDERSON, ZACHARY (MD)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1870 CAROLLEE LN
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-5214
Mailing Address - Country:US
Mailing Address - Phone:321-279-7012
Mailing Address - Fax:
Practice Address - Street 1:MONROE CARELL JR CHILDRENS HOSPITAL AT
Practice Address - Street 2:2200 CHILDREN'S WAY 8161 DOT
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-9760
Practice Address - Country:US
Practice Address - Phone:615-936-2555
Practice Address - Fax:615-936-3601
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME163038208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics