Individual
ANDRE ALFREDO AMPUDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5333 N DIXIE HWY STE 110, OAKLAND PARK, FL 33334-3453
(352) 796-7171
(352) 556-4889
Mailing address
5333 N DIXIE HWY STE 110, OAKLAND PARK, FL 33334-3453
(954) 772-8554
(954) 772-9662
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9117771
FL
Other
Enumeration date
08/28/2023
Last updated
10/19/2024
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