DR. JAMES L. ANDERSEN M.D. NPI 1104047695

NPI Information

  • NPI: 1104047695
  • Provider Name: DR. JAMES L. ANDERSEN, M.D.
  • Classification: Preventive Medicine - 2083A0300X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • Address: 805 CRYSTAL BEACH ROAD
    EAGLE LAKE, FL
    ZIP 33839
  • Phone: (863) 287-3485

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NPI Details

DR. James L. Andersen, M.D. is an addiction medicine preventive medicine in Eagle Lake, FL. The provider is 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. DR. James L. Andersen, M.D. NPI is 1104047695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

805 CRYSTAL BEACH ROAD
EAGLE LAKE, FL
ZIP 33839
Phone: (863) 287-3485
Fax: (863) 683-9180

The enumeration date for this NPI number is 5/1/2007 and was last updated on 11/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083A0300XPreventive MedicineAddiction MedicineME0024931FLORIDAYes
2146N00000XEmergency Medical Technician, BasicME0024931FLORIDANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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