Individual
DAVID L ANDRISANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15800 PINES BLVD, # 329, PEMBROKE PINES, FL 33027-1212
(954) 662-5005
Mailing address
15800 PINES BLVD, # 329, PEMBROKE PINES, FL 33027-1212
(954) 662-5005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS8580
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269849800
—
FL
Enumeration date
07/10/2006
Last updated
11/20/2018
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