Individual
DENISE ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3500 TYLER ST, HOLLYWOOD, FL 33021-6852
(954) 987-2047
(954) 987-2048
Mailing address
2401 FRIST BLVD, #7,9, AND 10, FORT PIERCE, FL 34950-4800
(772) 466-0088
(772) 460-8555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291474300
—
FL
Enumeration date
09/15/2006
Last updated
03/26/2013
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