Healthcare Provider Details

I. General information

NPI: 1184561078
Provider Name (Legal Business Name): LUCIANA PEDROSA ANDREIUOLO DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 CENTER DR
GAINESVILLE FL
32610-0001
US

IV. Provider business mailing address

11784 SW 34TH RD
GAINESVILLE FL
32608-0226
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-5800
  • Fax:
Mailing address:
  • Phone: 352-284-1469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDTP875
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: