MEDICARE: ANDREA GUNTER

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	367500000X	Certified Registered Nurse Anesthetist	9246567	FL

General Provider Information

NPI Number	:	1588001945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA GUNTER

Provider Business Mailing Address
First Line	:	7111 FAIRWAY DR STE 450
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-4200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7111 FAIRWAY DR STE 450
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-4200
Country	:	US
Telephone Number	:	419-388-3199
Fax Number	:

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

Provider Enumeration Date	:	05/25/2013
Last Update Date	:	05/25/2013

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