Individual
MAURA ANDRONIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 729-9343
(855) 373-3605
Mailing address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 729-9343
(855) 373-3605
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35078267
OH
2084P0800X
Psychiatry Physician
Primary
ME142925
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217363
ANTHEM BCBS
KY
01
—
000062778
MOUNTAIN STATE BCBS
WV
01
—
1055236
WV WORKERS COMP.
WV
01
—
163348
VALUE OPTIONS
NY
05
—
2188707
—
OH
01
—
267472000
MAGELLAN BEHAVIORAL HEALT
OH
Enumeration date
02/08/2007
Last updated
10/22/2019
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