MEDICARE: DR. FELIX ANDARSIO JR. D.O.

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	207V00000X	Obstetrics & Gynecology Physician	OS7249	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	:	1538192323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FELIX ANDARSIO JR. D.O.

Provider Business Mailing Address
First Line	:	1394 BEACON CIR
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-3154
Country	:	US
Telephone Number	:	561-791-7483
Fax Number	:

Provider Business Practice Location Address
First Line	:	1397 MEDICAL PARK BLVD.
Second Line	:	SUITE 440
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6108
Country	:	US
Telephone Number	:	561-784-1099
Fax Number	:

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

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	07/08/2007

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