MEDICARE: MISS ANDREA FRANCINE WARNER PT

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	225100000X	Physical Therapist	41451	FL

General Provider Information

NPI Number	:	1336499474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ANDREA FRANCINE WARNER PT

Provider Business Mailing Address
First Line	:	4125 HUNTERS PARK LN STE 116
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-7615
Country	:	US
Telephone Number	:	407-855-0614
Fax Number	:	407-855-0615

Provider Business Practice Location Address
First Line	:	4125 HUNTERS PARK LN STE 116
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-7615
Country	:	US
Telephone Number	:	407-855-0614
Fax Number	:	407-855-0615

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

Provider Enumeration Date	:	09/17/2012
Last Update Date	:	04/16/2024

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