Anisa Lee Mathis in Hurlburt Field - Medical
Anisa Lee Mathis - NPI 1285640813
Anisa Lee Mathis is a Medical in Hurlburt Field, Florida. Anisa Lee Mathis practices all healthcare services and medical treatments related to Medical. The NPI Number for Anisa Lee Mathis is 1285640813. The last update date is 2007-07-08.
Anisa Lee Mathis's current location address is 113 Lielmanis Ave, Hurlburt Field, Florida. You can contact this provider via phone number 8508812337 and fax number 8508812323. The mailing address for Anisa Lee Mathis is 113 Lielmanis Ave, Hurlburt Field, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anisa Lee Mathis |
|---|---|
| Address | 113 Lielmanis Ave, Hurlburt Field, Florida |
| Phone Number | 8508812337 |
| Fax Number | 8508812323 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1285640813 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 113 Lielmanis Ave |
|---|---|
| City | Hurlburt Field |
| State | Florida (FL) |
| Post Code | 325445613 |
| Phone Number | 8508812337 |
| Fax Number | 8508812323 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA9102039 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique identification code assigned to Anisa Lee Mathis by the Centers for Medicare & Medicaid Services?
The Anisa Lee Mathis has been issued the NPI (National Provider Identifier) 1285640813. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Anisa Lee Mathis's facilities are geographically located?
The facilities of Anisa Lee Mathis are physically situated at the following location: 113 Lielmanis Ave, Hurlburt Field, FL, 325445613.
What is the area of specialization for Anisa Lee Mathis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Anisa Lee Mathis is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did the Anisa Lee Mathis receive its 1285640813 assignment from the Centers for Medicare & Medicaid Services?
The Anisa Lee Mathis was assigned its 1285640813 by the Centers for Medicare & Medicaid Services on 2006-08-01.
As of what date were the details related to Anisa Lee Mathis most recently updated or revised?
The information pertaining to Anisa Lee Mathis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.