JAMES L. ANDERSEN M.D. – NPI #1104047695
Preventive Medicine

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

JAMES ANDERSEN is a physician located in EAGLE LAKE, FL. NPPES has assigned the NPI number 1104047695 to JAMES ANDERSEN on May 01, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083A0300X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Addiction Medicine

The NPI profile was last updated on Nov 14, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAMES ANDERSEN below.

NPI Profile for
JAMES L. ANDERSEN

NPI Number
1104047695
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAMES L. ANDERSEN
Credentials
M.D.
Primary location
805 CRYSTAL BEACH ROAD
EAGLE LAKE, FL 33839
Phone: (863) 287-3485 Fax: (863) 683-9180
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Nov 14, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083A0300X
- Preventive Medicine / Addiction Medicine (Primary)
FL ME0024931
146N00000X
- Emergency Medical Technician, Basic
FL ME0024931

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.