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Organization

ANDRE VENDRYES MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDRE G VENDRYES M.D. (PRESIDENT)
(772) 299-3690
Entity
Organization

Contact information

Practice address
3850 20TH ST, VERO BEACH, FL 32960-2472
(772) 299-3690
(772) 299-3680
Mailing address
3850 20TH ST, VERO BEACH, FL 32960-2472
(772) 299-3690
(772) 299-3680

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0076203
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44558
BLUE CROSS BLUE SHIELD FL
FL
01
DD1359
MEDICARE RAILROAD
FL
Enumeration date
07/17/2006
Last updated
04/22/2008
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