MR. KEVIN ANDERSON PTA
NPI 1306115787
Specialist in Tavares, FL

Active since December 14, 2011
614 E ROSEWOOD LN, TAVARES, FL 32778(863) 255-4702 Get Directions Write a Review

NPPES record last updated: December 14, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kevin Anderson Pta NPPES

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

MR. KEVIN ANDERSON PTA (NPI 1306115787) is an individual specialist in Tavares, Florida, licensed in Florida (PTA 19561) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1306115787
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. KEVIN ANDERSONCredential: PTA
Location Address614 E ROSEWOOD LNTavares, FL 32778-4879
Mailing Address614 E Rosewood LnTavares, FL 32778-4879
Sole ProprietorNo
Enumeration DateDecember 14, 2011
NPI 1306115787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · PTA 19561
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

614 E ROSEWOOD LN, Tavares, FL 32778

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 Kevin Anderson's NPI number?

The NPI number for Kevin Anderson is 1306115787. It was assigned to this individual provider in the NPPES registry on December 14, 2011.

Where is Kevin Anderson located?

Kevin Anderson practices at 614 E Rosewood Ln, Tavares, FL 32778. The listed phone number is (863) 255-4702.

What is Kevin Anderson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kevin Anderson was last updated on December 14, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.