MEDICARE: JOSE ANDRADE MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	0049328	FL
2	207KA0200X	Allergy Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01104151	OTHER	FL	GHI
2	18251	OTHER	FL	HEALTHEASE
3	201227	OTHER	FL	AMERIGROUP
4	47817071008	OTHER	FL	CIGNA
5	624969	OTHER	FL	AETNA
6	02636	OTHER	FL	UNIVERSAL HEALTH
7	600809492	OTHER	FL	MAGELLAN
8	03722	OTHER	FL	BCBS
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295037208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSE ANDRADE MD PA

Provider Business Mailing Address
First Line	:	5412 CURRY FORD RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32812-8522
Country	:	US
Telephone Number	:	407-658-7882
Fax Number	:	407-658-7995

Provider Business Practice Location Address
First Line	:	5412 CURRY FORD RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32812-8522
Country	:	US
Telephone Number	:	407-658-7882
Fax Number	:	407-658-7995

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOSE ANDRADE
Credential	:	MD
Telephone Number	:	407-658-7882

Provider Enumeration Date	:	11/23/2010
Last Update Date	:	10/02/2020

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Directions to “JOSE ANDRADE MD PA ” Practice Location

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