Provider Demographics
NPI:1962940395
Name:ALBERT E ANDRION II INC
Entity type:Organization
Organization Name:ALBERT E ANDRION II INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:KING
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:ANDRION
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:727-321-2020
Mailing Address - Street 1:5025 9TH AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-6606
Mailing Address - Country:US
Mailing Address - Phone:727-321-2020
Mailing Address - Fax:
Practice Address - Street 1:5025 9TH AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-6606
Practice Address - Country:US
Practice Address - Phone:727-321-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALBERT E ANDRION II INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5204261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70857Medicare UPIN