Individual
DR. ANDREW J PETRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
950 N AVALON WAY, LECANTO, FL 34461-6004
(352) 746-2663
(352) 746-6907
Mailing address
PO BOX 1990, CRYSTAL RIVER, FL 34423-1990
(352) 746-2663
(352) 746-6907
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0074278
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261005100
—
FL
Enumeration date
01/30/2007
Last updated
03/26/2010
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