Individual
ANDREW J GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1111 PEAK CIR, DELTONA, FL 32738-6829
(407) 927-3116
Mailing address
1111 PEAK CIR, DELTONA, FL 32738-6829
(407) 927-3116
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9308555
FL
163WN0800X
Neuroscience Registered Nurse
RN9308555
FL
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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