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NPI Code Detail

MEDICARE: ANDREW WIN

MEDICARE: ANDREW WIN
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
1207R00000XInternal Medicine PhysicianME169575FL

General Provider Information

NPI Number : 1487228128
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW WIN
Provider Business Mailing Address
First Line : 282 APOLLO BEACH BLVD
Second Line :
City : APOLLO BEACH
State : FL
Zip : 33572-2261
Country : US
Telephone Number : 813-645-4068
Fax Number : 813-645-0312
Provider Business Practice Location Address
First Line : 282 APOLLO BEACH BLVD
Second Line :
City : APOLLO BEACH
State : FL
Zip : 33572-2261
Country : US
Telephone Number : 813-645-4068
Fax Number : 813-645-0312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2021
Last Update Date : 08/30/2024

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Directions to “ ANDREW WIN ” Practice Location

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