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Individual

MATTHEW M ANDONIADIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036088211
IL
207L00000X
Anesthesiology Physician
Primary
ME131634
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020506000
FL
05
036088211
IL
01
050044398
RR MEDICARE
IL
Enumeration date
01/23/2006
Last updated
03/03/2026
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