Healthcare Provider Details

I. General information

NPI: 1932638624
Provider Name (Legal Business Name): ARLEEN ANDUJAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2017
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 CONROY WINDERMERE RD STE 200
WINDERMERE FL
34786-8431
US

IV. Provider business mailing address

9100 CONROY WINDERMERE RD STE 200
WINDERMERE FL
34786-8431
US

V. Phone/Fax

Practice location:
  • Phone: 689-204-2574
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number77530
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number308805
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME158584
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number308805
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number77530
License Number StateCT
# 6
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME158584
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: