Individual
DR. ANDREA ANTONIETA HASTINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
619 MIDFLORIDA DR STE 1, LAKELAND, FL 33813-4916
(863) 701-7188
(863) 701-2014
Mailing address
619 MIDFLORIDA DR STE 1, LAKELAND, FL 33813-4916
(863) 701-7188
(863) 701-2014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME145759
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106832400
—
FL
Enumeration date
05/25/2015
Last updated
03/29/2022
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