Provider Demographics
NPI:1942707328
Name:LITTELL, ANNE MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:MARIE
Last Name:LITTELL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PARK PLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-2325
Mailing Address - Country:US
Mailing Address - Phone:407-443-1711
Mailing Address - Fax:407-343-1611
Practice Address - Street 1:300 PARK PLACE BLVD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-2325
Practice Address - Country:US
Practice Address - Phone:407-443-1711
Practice Address - Fax:407-343-1611
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS07675207Q00000X
FLOS17675207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine