Individual
MS. ANDREA M NORIEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD FL 1, TAMPA, FL 33607-6307
(813) 554-8384
(813) 443-8160
Mailing address
3001 W DR MLK BLVD FL 1, TAMPA, FL 33607-6307
(813) 854-8384
(813) 443-8160
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9113557
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110870600
—
FL
Enumeration date
04/04/2019
Last updated
04/12/2023
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