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ANDREW STEPHEN SAN ANTONIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1900 DON WICKHAM DR, CLERMONT, FL 34711-1979
(352) 536-8840
Mailing address
15468 GILLIGAN CT, WINTER GARDEN, FL 34787-1782
(626) 485-6270

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME148221
FL
207R00000X
Internal Medicine Physician
TRN26739
FL

Other

Enumeration date
05/15/2018
Last updated
07/31/2021
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