Provider Demographics
NPI:1063114205
Name:REFOJOS LIANO, ANDREA (DC)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:
Last Name:REFOJOS LIANO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7718 ANSELMO LN
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6732
Mailing Address - Country:US
Mailing Address - Phone:787-479-2847
Mailing Address - Fax:
Practice Address - Street 1:955 W STATE ROAD 436 STE 1040
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2917
Practice Address - Country:US
Practice Address - Phone:407-403-5567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13997111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor