Individual
MR. JAMES NMI DANDREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASST
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744
(727) 398-6661
(727) 319-7786
Mailing address
12054 96TH PL, SEMINOLE, FL 33772-2613
(727) 392-0959
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000799-1
NY
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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