DR. JAMES L. ANDERSEN M.D.
NPI 1104047695
Preventive Medicine - Addiction Medicine in Eagle Lake, FL

Q: What is James Andersen's NPI number?

The NPI number for James Andersen is 1104047695. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Q: What is James Andersen's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Q: When was this NPI record last updated?

The NPPES record for James Andersen was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 01, 2007

805 CRYSTAL BEACH ROAD, EAGLE LAKE, FL 33839(863) 287-3485(863) 683-9180 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. James L. Andersen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES L. ANDERSEN M.D. (NPI 1104047695) is an individual addiction medicine provider in Eagle Lake, Florida, licensed in Florida (ME0024931) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1104047695

Entity TypeIndividualMale

Primary Taxonomy2083A0300X

Provider Legal NameDR. JAMES L. ANDERSENCredential: M.D.

Location Address805 CRYSTAL BEACH ROADEagle Lake, FL 33839

Mailing Address805 Crystal Beach RoadEagle Lake, FL 33839 · (863) 287-3485 · Fax (863) 683-9180

Phone(863) 287-3485

Fax(863) 683-9180

Sole ProprietorNo

Enumeration DateMay 1, 2007

Last NPPES UpdateNovember 14, 2024

NPPES CertifiedNovember 14, 2024

✔ NPI 1104047695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083A0300X

License✔ Licensed in FL · ME0024931

Definition

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.

Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X · License ME0024931 (FL)

805 CRYSTAL BEACH ROAD, Eagle Lake, FL 33839

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Andersen's NPI number?

The NPI number for James Andersen is 1104047695. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is James Andersen located?

James Andersen practices at 805 Crystal Beach Road, Eagle Lake, FL 33839. The listed phone number is (863) 287-3485.

What is James Andersen's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

When was this NPI record last updated?

The NPPES record for James Andersen was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.