Provider Demographics
NPI:1235506379
Name:ANDRASI, MIKLOS
Entity Type:Individual
Prefix:
First Name:MIKLOS
Middle Name:
Last Name:ANDRASI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4174 CENTRAL SARASOTA PKWY
Mailing Address - Street 2:APT 224
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-6601
Mailing Address - Country:US
Mailing Address - Phone:832-212-4058
Mailing Address - Fax:
Practice Address - Street 1:4174 CENTRAL SARASOTA PKWY
Practice Address - Street 2:APT 224
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-6601
Practice Address - Country:US
Practice Address - Phone:832-212-4058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor