Individual
ANDREW BANUELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8201 W BROWARD BLVD FL 33324, PLANTATION, FL 33324-2701
(661) 431-3434
Mailing address
10310 BARNES DR, BAKERSFIELD, CA 93311-3060
(661) 431-3434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME162666
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2020
Last updated
08/16/2023
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