Individual
JOSE ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5412 CURRY FORD RD, ORLANDO, FL 32812-8522
(407) 658-7882
(407) 656-7995
Mailing address
5412 CURRY FORD RD, ORLANDO, FL 32812-8522
(407) 658-7882
(407) 656-7995
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
ME0049328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142941
ONE HEALTH PLAN
FL
01
—
18251
HEALTHEASE
FL
01
—
2000213
GHI
FL
01
—
201227
AMERIGROUP
FL
05
—
378451700
—
FL
01
—
47817071008
CIGNA
FL
01
—
624969
AETNA
FL
01
—
9274
AVMED
FL
Enumeration date
10/14/2005
Last updated
10/02/2020
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