Individual
DR. ANDREW K. BARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8825 PERIMETER PARK BLVD, SUITE 401, JACKSONVILLE, FL 32216-1108
(904) 236-5023
(904) 226-5073
Mailing address
8825 PERIMETER PARK BLVD, SUITE 401, JACKSONVILLE, FL 32216-1108
(904) 236-5023
(904) 236-5073
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO3147
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO3147
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340474900
—
FL
01
—
50393
BLUE CROSS BLUE SHIELD
FL
01
—
99763
BCBS GROUP
FL
Enumeration date
07/18/2006
Last updated
10/22/2014
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