Individual
ANDRE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4771 S CLEVELAND AVE, FORT MYERS, FL 33907-1317
(239) 343-9800
(239) 343-9848
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9800
(239) 343-9848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11018468A
IN
207Q00000X
Family Medicine Physician
Primary
ME136218
FL
208M00000X
Hospitalist Physician
Primary
ME136218
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103773900
—
FL
Enumeration date
05/29/2015
Last updated
04/22/2026
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