Provider Demographics
NPI:1073637617
Name:MAGGIONI, ANDREA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:
Last Name:MAGGIONI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1172 S DIXIE HWY
Mailing Address - Street 2:#275
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2918
Mailing Address - Country:US
Mailing Address - Phone:305-219-9022
Mailing Address - Fax:305-662-8232
Practice Address - Street 1:1172 S DIXIE HWY
Practice Address - Street 2:#275
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2918
Practice Address - Country:US
Practice Address - Phone:305-219-9022
Practice Address - Fax:305-662-8232
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME-0072937208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics