Individual
ANDREAS JOHN BERTOLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
901 45TH ST, MANGONIA PARK, FL 33407-2413
(561) 844-6300
Mailing address
5911 SE CROOKED OAK AVE, HOBE SOUND, FL 33455-8311
(561) 281-2949
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
9244279
FL
363LF0000X
Family Nurse Practitioner
Primary
11004500
FL
Other
Enumeration date
10/07/2019
Last updated
12/27/2019
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