Provider Demographics
NPI:1023201068
Name:TURNER, ANDREW CHARLES (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:CHARLES
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 S 25TH ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34947-4753
Mailing Address - Country:US
Mailing Address - Phone:772-460-8235
Mailing Address - Fax:772-460-5010
Practice Address - Street 1:2011 S 25TH ST
Practice Address - Street 2:SUITE 105
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34947-4753
Practice Address - Country:US
Practice Address - Phone:772-460-8235
Practice Address - Fax:772-460-5010
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99820208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics