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Individual

ADRIAN ANDREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
14300 FANG DR, BLDG #3, JACKSONVILLE, FL 32218-7933
(954) 696-2828
Mailing address
13000 BROXTON BAY DR, # 308, JACKSONVILLE, FL 32218-8390
(954) 696-2828

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103249
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
292544300
FL
01
U7403T
RAILROAD MEDICARE
FL
Enumeration date
07/10/2006
Last updated
06/10/2013
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