Individual
MRS. ETHEL SULTANA ANDREWS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 E SHERIDAN RD, MELBOURNE, FL 32901-3122
(321) 722-5200
Mailing address
400 E SHERIDAN RD, MELBOURNE, FL 32901-3122
(321) 722-5200
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME0071959
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05084
BCBSFL
FL
Enumeration date
10/18/2005
Last updated
07/08/2007
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