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Andrew Cunningham, Physician Assistant

Physician Assistant in Wesley Chapel, FL. Individual provider (NPI-1).

NPI number1851950554
StatusActive
Last updated in NPPESFeb 19, 2020

Details

NPI
1851950554
Entity type
Individual (NPI-1)
Name
Andrew Cunningham
Credential
Physician Assistant
Sex
Male
Sole proprietor
No
Enumeration date
Jun 7, 2019
Certification date
Feb 19, 2020
Last updated
Feb 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA9112114FLYes

Practice location

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207

Phone 813-417-9671

Mailing address

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207

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