Healthcare Provider Details

I. General information

NPI: 1578536850
Provider Name (Legal Business Name): ANDREW H FITZKEE P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19161 HEALTHY WAY
REHOBOTH BEACH DE
19971-4491
US

IV. Provider business mailing address

1515 SAVANNAH RD FL 2
LEWES DE
19958-1675
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-3585
  • Fax: 302-645-3513
Mailing address:
  • Phone: 302-645-3499
  • Fax: 302-644-4830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC5-000516
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: