Individual
ANDREA R KUIPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
8960 COLONIAL CENTER DR STE 302, FORT MYERS, FL 33905-7810
(239) 343-9700
(239) 343-9699
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9700
(239) 343-9699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103589
FL
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000621200
—
FL
01
—
P01272555
RAILROAD MCR
FL
01
—
Y04JJ
BCBS OF FL
FL
Enumeration date
07/07/2006
Last updated
03/29/2021
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