Individual
ANDREA BERECZ-PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 HARBOR BLVD STE 7, PORT CHARLOTTE, FL 33952-5038
(941) 766-5095
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9112497
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104195300
—
FL
01
—
V1DWC
BCBS
FL
Enumeration date
09/11/2019
Last updated
11/07/2025
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