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Individual

DR. NEY F ANDUJAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1401 SE GOLDTREE DRIVE, STE 104, PORT ST LUCIE, FL 34952
(772) 905-8531
(772) 905-8526
Mailing address
1401 SE GOLDTREE DR STE 104, PORT ST LUCIE, FL 34952-7584
(772) 905-8531
(772) 905-8526

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME80487
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
265334600
FL
Enumeration date
06/26/2006
Last updated
10/10/2014
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