Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 35071275 | OH |
N | 208200000X | Surgeon | 9901500 | NC |
N | 208600000X | Surgeon | 9901500 | NC |
Y | 208200000X | Surgeon | ME113599 | FL |
Y | 208600000X | Surgeon | ME113599 | FL |
NPI | 1780778035 |
---|---|
Provider Name | Dr. Kenneth A. Andreoni |
First Address | Gainesville, FL 32610-0118 |
Second Address | Gainesville, FL 32610-3003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 24/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006335000 | (05) | FL |
2836186 | (05) | OH |