Shane Michael Anderson, PA-C
NPI #1003509100 in Temple Terrace, Florida
Provider Information
- NPI Number
- 1003509100
- Entity Type
- Individual
- Name
- Shane Michael Anderson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 2, 2023
- Last Updated
- Mar 26, 2025
Practice Location
- Address
- 5901 E FOWLER AVE STE 100
- City
- Temple Terrace
- State
- Florida
- ZIP Code
- 33617-2305
- Phone
- (813) 978-9700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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