Individual
DR. ANDREA BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(727) 641-5317
Mailing address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(727) 641-5317
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME77465
FL
Other
Enumeration date
06/08/2006
Last updated
10/04/2010
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