| Doctor Name: | MRS. ANDREA JANE VIRGILI |
| NPI Number: | 1124452966 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | ARNP9247104 |
| Business Practice Address: | 122 Mobbly Bay Dr Oldsmar, FL - 346774014 |
| Business Phone Number: | 8139437164 |
| Business Fax Number: | |
| Mailing Address: | 122 Mobbly Bay Dr, OLDSMAR |
| State: | FL |
| Postal Code: | 346774014 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/28/2013 |
| NPI Last Update Date: | 07/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | ARNP9247104 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |