Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | OS15735 | FL |
NPI | 1093926396 |
---|---|
Provider Name | Carey K Andreoiu |
First Address | Rockledge, FL 32955-4306 |
Second Address | Melbourne, FL 32940-2240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 02/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002563300 | (05) | FL |
JO028 | MEDICARE (01) | FL |