Andell Y Phillip Valid NPI
Individual provider · Homemaker · Lake Mary, FL
- NPI
- 1922563030
- Type
- Individual (Type 1)
- Primary specialty
- Homemaker
- Specialty group
- Nursing Service Related Providers
- Taxonomy code
- 376J00000X
- License number
- 239577 (FL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2019-02-02
- Last updated
- 2023-12-01
Practice location
1540 International Pkwy Ste 2000
Lake Mary, FL 32746-5096
(352) 502-4923