MEDICARE: DANIEL ANDRADE

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	225700000X	Massage Therapist	103364	FL

General Provider Information

NPI Number	:	1902641004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL ANDRADE

Provider Business Mailing Address
First Line	:	7554 SUN TREE CIR APT 106
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807-6131
Country	:	US
Telephone Number	:	407-820-1723
Fax Number	:

Provider Business Practice Location Address
First Line	:	7554 SUN TREE CIR APT 106
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807-6131
Country	:	US
Telephone Number	:	407-820-1723
Fax Number	:

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

Provider Enumeration Date	:	06/28/2024
Last Update Date	:	06/28/2024

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Directions to “ DANIEL ANDRADE ” Practice Location

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