Individual
MRS. ANDREA JANE SEYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 905-4562
(305) 278-2569
Mailing address
7650 SW 138TH ST, VILLAGE OF PALMETTO BAY, FL 33158-1251
(305) 905-4562
(305) 278-2569
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1060902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40041
PROVIDER NUMBER
FL
Enumeration date
08/31/2006
Last updated
07/08/2007
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