Individual provider · NPI-1

Dr. Gladys Lizzette Andrade, M.D.

General Practice · Hollywood, FL

NPI number1740545201
StatusActive
Last updated in NPPESOct 2, 2023

Details

NPI
1740545201
Entity type
Individual (NPI-1)
Name
Dr. Gladys Lizzette Andrade
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 11, 2012
Certification date
Oct 2, 2023
Last updated
Oct 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General PracticeME134772FLYes
208D00000X General PracticeACN463FL
208D00000X General Practice18486PR

Practice location

3500 Hollywood Blvd
Hollywood, FL 33021-6809

Phone 754-231-0164 · Fax 754-225-1616

Mailing address

61 Hook Sq
Miami Springs, FL 33166-4401

Phone 305-884-8880

Other practice locations

61 Hook Sq
Miami Springs, FL 33166-4401

Phone 305-884-8880

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