Provider Demographics
NPI:1386271047
Name:WEBB, ANDREW WAYNE JR (RRT, CPFT)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:WAYNE
Last Name:WEBB
Suffix:JR
Gender:M
Credentials:RRT, CPFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5699 BASSETT PL
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-8501
Mailing Address - Country:US
Mailing Address - Phone:407-490-6448
Mailing Address - Fax:
Practice Address - Street 1:5699 BASSETT PL
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-8501
Practice Address - Country:US
Practice Address - Phone:407-490-6448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT133212279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome HealthGroup - Single Specialty