Healthcare Provider Details

I. General information

NPI: 1063203719
Provider Name (Legal Business Name): ANDREW FURBER RRT-ACCS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 TURKEY LAKE RD
ORLANDO FL
32819-8001
US

IV. Provider business mailing address

211 VISTA GRAND WAY APT 206
ORLANDO FL
32824-5144
US

V. Phone/Fax

Practice location:
  • Phone: 407-351-8500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRT13093
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: