Provider Demographics
NPI:1215054697
Name:DR. ANHALT AND ASSOCIATES, P.A.
Entity type:Organization
Organization Name:DR. ANHALT AND ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ANHALT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-473-2853
Mailing Address - Street 1:805 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3317
Mailing Address - Country:US
Mailing Address - Phone:954-473-2853
Mailing Address - Fax:954-473-6506
Practice Address - Street 1:805 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3317
Practice Address - Country:US
Practice Address - Phone:954-473-2853
Practice Address - Fax:954-473-6506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2160152WC0802X, 152WS0006X, 152WX0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
Not Answered152WS0006XEye and Vision Services ProvidersOptometristSports VisionGroup - Multi-Specialty
Not Answered152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT77519Medicare UPIN
FL20112Medicare ID - Type Unspecified