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General NPI Number Information
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NPI Number | 1093279382
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Entity Type | Individual
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Provider Name | ANDREA LOFAY MSN, APRN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 01/30/2019
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 8029 COOPER CREEK BLVD STE 104
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City | UNIVERSITY PARK
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State | FL
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Zip | 34201-3003
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Country | US
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Telephone | 800-991-6117
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Fax | 888-812-8191
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Provider Business Mailing Address
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Address Line | 3820 NORTHDALE BLVD STE 201
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City | TAMPA
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State | FL
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Zip | 33624-1893
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Country | US
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Telephone | 800-991-6117
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Fax | 888-812-8191
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | APRN11001162
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11001162
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License Number State | FL
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