Individual
ANDY DEETJEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2451 NW 41ST AVE APT 408, LAUDERHILL, FL 33313-3769
(646) 830-7804
Mailing address
714 NW 62ND ST, MIAMI, FL 33150-4332
(786) 655-0529
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
02/03/2023
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