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Anais Andara, PA-C

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

NPI number1912418104
StatusActive
Last updated in NPPESOct 16, 2017

Details

NPI
1912418104
Entity type
Individual (NPI-1)
Name
Anais Andara
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 16, 2017
Last updated
Oct 16, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA9110650FLYes
2086S0120X Surgery, Pediatric SurgeryPA9110650FL

Practice location

13535 Nemours Pkwy
Orlando, FL 32827-7402

Phone 407-650-7622

Mailing address

10140 Centurion Pkwy N
Jacksonville, FL 32256-0532

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