MEDICARE: EDUARDO ANDRE 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
1	207RP1001X	Pulmonary Disease Physician	ME109523	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	:	1548606437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDUARDO ANDRE MD

Provider Business Mailing Address
First Line	:	8600 SW 92ND ST
Second Line	:	SUITE 204A
City	:	MIAMI
State	:	FL
Zip	:	33156-7397
Country	:	US
Telephone Number	:	305-216-7312
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 N PALM AVE STE 109
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-3240
Country	:	US
Telephone Number	:	954-271-0411
Fax Number	:	954-901-2727

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

Provider Enumeration Date	:	05/17/2013
Last Update Date	:	02/14/2023

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Directions to “ EDUARDO ANDRE MD” Practice Location

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