MEDICARE: ANDREW CHARLES TURNER M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	ME99820	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023201068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW CHARLES TURNER M.D

Provider Business Mailing Address
First Line	:	2011 S 25TH ST
Second Line	:	SUITE 105
City	:	FORT PIERCE
State	:	FL
Zip	:	34947-4753
Country	:	US
Telephone Number	:	772-460-8235
Fax Number	:	772-460-5010

Provider Business Practice Location Address
First Line	:	2011 S 25TH ST
Second Line	:	SUITE 105
City	:	FORT PIERCE
State	:	FL
Zip	:	34947-4753
Country	:	US
Telephone Number	:	772-460-8235
Fax Number	:	772-460-5010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2007
Last Update Date	:	03/18/2009

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