Provider Demographics
NPI:1154552537
Name:AEDO, ANDREA PAULA (DPM)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:PAULA
Last Name:AEDO
Suffix:
Gender:F
Credentials:DPM
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Mailing Address - Street 1:8230 CLEARY BLVD
Mailing Address - Street 2:2304
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1383
Mailing Address - Country:US
Mailing Address - Phone:954-236-6887
Mailing Address - Fax:954-236-6887
Practice Address - Street 1:10041 PINES BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6170
Practice Address - Country:US
Practice Address - Phone:954-437-0200
Practice Address - Fax:954-436-2159
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2009-09-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPO 3386213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery