Provider Demographics
NPI:1073860920
Name:ANDREWS, DAVID ISRAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ISRAEL
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ISRAEL
Other - Middle Name:DAVID
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4037 NW 86TH TER
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606
Mailing Address - Country:US
Mailing Address - Phone:352-594-1500
Mailing Address - Fax:
Practice Address - Street 1:1919 E THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7710
Practice Address - Country:US
Practice Address - Phone:602-933-0895
Practice Address - Fax:602-933-2436
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ54545207NP0225X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ280365Medicaid
FL015718800Medicaid