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NPI Code Detail

MEDICARE: ERICK ANDREU MD

MEDICARE:   ERICK  ANDREU  MD
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
1207P00000XEmergency Medicine PhysicianME0087672FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
281764OTHERFLBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518927193
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICK ANDREU MD
Provider Business Mailing Address
First Line : 8850 SW 43RD TER
Second Line :
City : MIAMI
State : FL
Zip : 33165-5332
Country : US
Telephone Number : 305-552-7145
Fax Number :
Provider Business Practice Location Address
First Line : 9333 SW 152ND ST
Second Line :
City : PALMETTO BAY
State : FL
Zip : 33157-1778
Country : US
Telephone Number : 305-256-5001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 03/03/2015

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Directions to “ ERICK ANDREU MD” Practice Location

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