Dr. Andrea Mithai Avondstondt
Obstetrician & Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
293 Nw Peacock Blvd Ste 202
Port St Lucie
, Florida 34986-2222
Dr. Andrea Mithai Avondstondt
Obstetrician & Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
293 Nw Peacock Blvd Ste 202
Port St Lucie
, Florida 34986-2222
(772) 871-2905
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About
Features
Specialties
- Obstetrician & Gynecologist
- Female Pelvic Medicine and Reconstructive Surgeon
Languages spoken
- English
Location
First Address
- Dr. Andrea Mithai Avondstondt
- 293 Nw Peacock Blvd Ste 202
- Port St Lucie, FL
- Zip : 34986-2222
- Fax : (772) 871-2905
- Phone : (772) 878-6599
Second Address
- Dr. Andrea Mithai Avondstondt
- 293 Nw Peacock Blvd Ste 202
- Port St Lucie, FL
- Zip : 34986-2222
- Fax : (772) 871-2905
- Phone : (772) 878-6599
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | ME144716 | FL |
| N | 207V00000X | Obstetrician & Gynecologist | P27666 | MD |
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME144716 | FL |
National Provider Identifier
| NPI | 1821358839 |
|---|---|
| Provider Name | Dr. Andrea Mithai Avondstondt |
| First Address | Port St Lucie, FL 34986-2222 |
| Second Address | Port St Lucie, FL 34986-2222 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2012 |
| Last Update Date | 05/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1821358839 | (05) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.