MEDICARE: SONIA IVY ANDRADES

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	1041C0700X	Clinical Social Worker	SW26055	FL

General Provider Information

NPI Number	:	1932056975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA IVY ANDRADES

Provider Business Mailing Address
First Line	:	5333 SW 75TH ST APT G48
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-7449
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5333 SW 75TH ST APT G48
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-7449
Country	:	US
Telephone Number	:	352-757-2004
Fax Number	:

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

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “ SONIA IVY ANDRADES ” Practice Location

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