Doctor Name: | ALEXANDRA MARIE ANDES |
NPI Number: | 1083907083 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.M. |
License Number: | PO3441 |
Business Practice Address: | 7421 N University Dr Suite 304 Tamarac, FL - 333212977 |
Business Phone Number: | 9547228080 |
Business Fax Number: | 9547224093 |
Mailing Address: | 7421 N University Dr, Suite 304 TAMARAC |
State: | FL |
Postal Code: | 333212977 |
Phone Number: | 9547228080 |
Fax Number: | 9547224093 |
NPI Enumeration Date: | 05/24/2011 |
NPI Last Update Date: | 01/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO3441 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |