Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | ME67763 | FL |
N | 207PP0204X | Pediatric Emergency Physician | ME67763 | FL |
N | 208000000X | Pediatrician | ME67763 | FL |
NPI | 1518151893 |
---|---|
Provider Name | Dr. Andrew Daniel Mason |
First Address | Naples, FL 34102-5661 |
Second Address | Naples, FL 34102-5661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2007 |
Last Update Date | 12/12/2013 |