Individual
DR. ANDREW BOBY BANOONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9981 S HEALTHPARK DR DEPT OF, FORT MYERS, FL 33908-3618
(239) 343-5000
Mailing address
851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751-7420
(888) 339-8727
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
257217
MA
207LP3000X
Pediatric Anesthesiology Physician
4301110378
MI
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME147571
FL
Other
Enumeration date
03/24/2011
Last updated
03/18/2022
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