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Individual

ANDREA KREITHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7270 KYLE CT, LAKEWOOD RANCH, FL 34240-8435
(941) 907-8175
(941) 757-3998
Mailing address
8374 MARKET ST, SUITE 120, LAKEWOOD RANCH, FL 34202-5137
(941) 907-8175
(941) 757-3998

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
82699
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005455
CIGNA
FL
01
01103
BCBS
FL
01
163259
HEALTHPARTNERS
FL
01
5996428
GHI
FL
01
7595192
AETNA
FL
01
P00216340
RAIL ROAD MEDICARE
FL
Enumeration date
06/18/2006
Last updated
05/02/2017
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