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Organization

AGUSTINE A ANDRADE MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AGUSTIN ANDRADE MD (HEAD PHYSICIAN)
(305) 672-7560
Entity
Organization

Contact information

Practice address
4308 ALTON RD, SUITE 310, MIAMI BEACH, FL 33140-4556
(305) 672-7560
(305) 672-7936
Mailing address
4308 ALTON RD, SUITE 310, MIAMI BEACH, FL 33140-4556
(305) 672-7560
(305) 672-7936

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27328
BLUE CROSS BLUE SHIELD
FL
01
DD4618
RAILROAD MEDICARE
FL
Enumeration date
08/09/2006
Last updated
11/13/2012
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