MEDICARE: ANDREA SCIBERRAS D.O.

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	207R00000X	Internal Medicine Physician	OS9687	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477645661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA SCIBERRAS D.O.

Provider Business Mailing Address
First Line	:	4801 S. UNIVERSITY DR.
Second Line	:	SUITE 2300
City	:	DAVIE
State	:	FL
Zip	:	33328
Country	:	US
Telephone Number	:	954-434-1705
Fax Number	:	954-434-1882

Provider Business Practice Location Address
First Line	:	101 S FEDERAL HWY
Second Line	:
City	:	DANIA BEACH
State	:	FL
Zip	:	33004-3622
Country	:	US
Telephone Number	:	954-399-9941
Fax Number	:	954-399-3622

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	07/21/2022

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