Individual
ERNESTO ANDINO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
9482 NW 120TH ST APT 832, HIALEAH GARDENS, FL 33018-4197
(786) 246-7585
Mailing address
9482 NW 120TH ST APT 832, HIALEAH GARDENS, FL 33018-4197
(786) 246-7585
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
13-665
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13-665
—
WI
Enumeration date
11/16/2016
Last updated
11/16/2016
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