Individual
ANDRE S ISHMAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1555 BOREN DR, OCOEE, FL 34761-2989
(407) 292-2156
(407) 241-2868
Mailing address
13036 WATERFORD WOOD CIR APT 104, ORLANDO, FL 32828-6053
(407) 292-2156
(407) 241-2868
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT29544
FL
Other
Enumeration date
08/05/2014
Last updated
05/15/2022
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