Shunteri Anderson

Individual provider Active NPI Case Management Agency · Pinellas Park, FL

NPI 1639899016 · NPPES record last updated Aug 29, 2022

Key facts

NPI
1639899016
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Agency 251B00000X
Practice address
3491 Gandy Blvd N Ste 201
Pinellas Park, FL 33781-2654
Phone
(727) 547-0607
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Yes

Addresses

Primary practice location

3491 Gandy Blvd N Ste 201
Pinellas Park, FL 33781-2654

Mailing address

4348 Trout Dr SE
Saint Petersburg, FL 33705-4204
Phone (727) 564-8851

Other providers in Pinellas Park, FL

All providers in Pinellas Park, FL · Case Management Agency in Florida

Sources for this page

Verify at the official NPI Registry.