Individual
ANDREA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3198 SW 128TH TER, MIRAMAR, FL 33027-5346
(786) 487-9533
Mailing address
3198 SW 128TH TER, MIRAMAR, FL 33027-5346
(786) 487-9533
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
26-203
FL
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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