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	207KA0200X	Allergy Physician	ME0049328	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	18251	OTHER	FL	WELLCARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	142941	OTHER		ONE HEALTH PLAN
4	18251	OTHER	FL	HEALTHESE
5	624969	OTHER	FL	AETNA
6	03722	OTHER		BCBS
7	0110451	OTHER	FL	GHI
8	02363	OTHER		UNIVERSAL HEALTH
9	11416701	OTHER	FL	CITRUS
10	47817071-008	OTHER	FL	CIGNA
11	201227	OTHER	FL	AMERIGROUP
12	142941	OTHER		OHP

General Provider Information

NPI Number	:	1386872042
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	:	07/01/2009
Last Update Date	:	10/02/2020

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