Individual
DR. ANDREW J HANLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16250 NW 59TH AVE, SUITE 201, MIAMI LAKES, FL 33014-7542
(305) 825-4422
Mailing address
16250 NW 59TH AVE, SUITE 201, MIAMI LAKES, FL 33014-7542
(305) 825-4422
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME70688
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME70688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030682700
—
FL
Enumeration date
02/01/2006
Last updated
03/25/2021
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