Provider Demographics
NPI:1336569946
Name:ANDERSON-SCOKELEE, INC
Entity type:Organization
Organization Name:ANDERSON-SCOKELEE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER (COO)
Authorized Official - Prefix:
Authorized Official - First Name:FIDELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:OKAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-519-5795
Mailing Address - Street 1:5001 NW 34TH BLVD.
Mailing Address - Street 2:SUITE B
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-1190
Mailing Address - Country:US
Mailing Address - Phone:352-519-5795
Mailing Address - Fax:352-519-5796
Practice Address - Street 1:5001 NW 34TH BLVD STE B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-1190
Practice Address - Country:US
Practice Address - Phone:352-519-5795
Practice Address - Fax:352-519-5796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-22
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH280283336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2145375OtherPK
2145375OtherPK