Individual
MR. ANDREW STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
5703 RED BUG LAKE RD, # 166, WINTER SPRINGS, FL 32708-4969
(407) 948-9731
Mailing address
5703 RED BUG LAKE RD # 166, WINTER SPRINGS, FL 32708-4969
(407) 948-9731
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9207634
FL
363LF0000X
Family Nurse Practitioner
9207634
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007200300
—
FL
Enumeration date
10/06/2011
Last updated
03/21/2018
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