Provider Demographics
NPI:1679817357
Name:HANDY, ANNA
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:HANDY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 PINE HOLLOW WAY
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-1857
Mailing Address - Country:US
Mailing Address - Phone:386-248-3000
Mailing Address - Fax:386-258-2120
Practice Address - Street 1:19 PINE HOLLOW WAY
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-1857
Practice Address - Country:US
Practice Address - Phone:386-248-3000
Practice Address - Fax:386-258-2120
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies