Individual
ANDREW GEORGE ITEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40079 HIGHWAY 27, DAVENPORT, FL 33837-7800
(863) 547-3903
Mailing address
1225 LOGGER HEAD CIR UNIT 7-206, DAVENPORT, FL 33896-9780
(419) 544-3247
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS67306
FL
Other
Enumeration date
11/10/2025
Last updated
11/19/2025
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