Provider Demographics
NPI:1407665862
Name:ANCHOR MEDICAL CENTER LLC
Entity type:Organization
Organization Name:ANCHOR MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YING
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:412-889-2886
Mailing Address - Street 1:2828 CASA ALOMA WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-2266
Mailing Address - Country:US
Mailing Address - Phone:412-977-5182
Mailing Address - Fax:
Practice Address - Street 1:2828 CASA ALOMA WAY STE 200
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-2266
Practice Address - Country:US
Practice Address - Phone:412-977-5182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty