Organization
ANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEY ANDUJAR MD (MEMBER)
(772) 905-8531
Entity
Organization
Contact information
Practice address
1401 SE GOLDTREE DR, SUITE 104, PORT ST LUCIE, FL 34952-7584
(772) 905-8531
Mailing address
1401 SE GOLDTREE DR, SUITE 104, PORT ST LUCIE, FL 34952-7584
(772) 905-8531
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME80487
FL
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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