Healthcare Provider Details

I. General information

NPI: 1336436815
Provider Name (Legal Business Name): FELIX ANDARSIO, D.O.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2011
Last Update Date: 07/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1397 MEDICAL PARK BLVD STE 440
WELLINGTON FL
33414-3188
US

IV. Provider business mailing address

1397 MEDICAL PARK BLVD STE 440
WELLINGTON FL
33414-3188
US

V. Phone/Fax

Practice location:
  • Phone: 561-784-1099
  • Fax: 561-784-1081
Mailing address:
  • Phone: 561-784-1099
  • Fax: 561-784-1081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberOS7249
License Number StateFL

VIII. Authorized Official

Name: DR. FELIX ANDARSIO
Title or Position: PHYSICIAN
Credential: D.O.
Phone: 561-784-1099