Individual
ANDREW SERGE PADNUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8421 CASA DEL RIO LN, FORT MYERS, FL 33919-1606
(239) 851-8900
Mailing address
8421 CASA DEL RIO LN, FORT MYERS, FL 33919-1606
(239) 851-8900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA10821
FL
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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