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Individual

ANDREW LISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2268 DARLEY OAK WAY, NORTH PORT, FL 34289-1903
(954) 805-4374
Mailing address
2268 DARLEY OAK WAY, NORTH PORT, FL 34289-1903

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS16085
FL

Other

Enumeration date
03/26/2016
Last updated
11/09/2025
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