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Individual

DR. GLADYS LIZZETTE ANDRADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3500 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6809
(754) 231-0164
(754) 225-1616
Mailing address
61 HOOK SQ, MIAMI SPRINGS, FL 33166-4401
(305) 884-8880

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
18486
PR
208D00000X
General Practice Physician
ACN463
FL
208D00000X
General Practice Physician
Primary
ME134772
FL

Other

Enumeration date
07/11/2012
Last updated
10/02/2023
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