Provider Demographics
NPI:1487914040
Name:ANDREWS, LOUMARIE LEE (MD)
Entity type:Individual
Prefix:
First Name:LOUMARIE
Middle Name:LEE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LOUMARIE
Other - Middle Name:LEE
Other - Last Name:COLON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3951 NW 48TH TER
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-7228
Mailing Address - Country:US
Mailing Address - Phone:352-265-5230
Mailing Address - Fax:
Practice Address - Street 1:625 SW 4TH AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-6430
Practice Address - Country:US
Practice Address - Phone:352-392-6771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2017-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME123281207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015232900Medicaid
FLIG408ZMedicare PIN