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Individual

ANDREW PHILLIP DEWOLFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1840 MEASE DR, SUITE 202, SAFETY HARBOR, FL 34695-6602
(727) 725-6246
(727) 726-5865
Mailing address
455 PINELLAS ST, SUITE 400, CLEARWATER, FL 33756-3354
(727) 445-1911

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME123778
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015114700
FL
01
IE953Z
MEDICARE PTAN
FL
01
ME123778
FLORIDA BOARD OF MEDICINE
FL
Enumeration date
04/20/2009
Last updated
07/21/2022
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