Individual
JIMMY FLOYD ANDAZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10571 VISTA BELLA PL NW, ALBUQUERQUE, NM 87114-3875
(505) 259-1133
Mailing address
10571 VISTA BELLA PL NW, ALBUQUERQUE, NM 87114-3875
(505) 259-1133
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10494
GA
363A00000X
Physician Assistant
4505
OK
363A00000X
Physician Assistant
7337
WI
363A00000X
Physician Assistant
PA2014-0051
NM
363AM0700X
Medical Physician Assistant
3518
SC
363AM0700X
Medical Physician Assistant
PA2014-0051
NM
Other
Enumeration date
10/05/2014
Last updated
12/11/2025
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