Provider Demographics
NPI:1265648612
Name:ANDRION, ALBERT EUGENE II (DC)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:EUGENE
Last Name:ANDRION
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5025 9TH AVE N
Mailing Address - Street 2:SUITE A
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-6606
Mailing Address - Country:US
Mailing Address - Phone:727-321-2020
Mailing Address - Fax:727-323-1583
Practice Address - Street 1:5025 9TH AVE N
Practice Address - Street 2:SUITE A
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-6606
Practice Address - Country:US
Practice Address - Phone:727-321-2020
Practice Address - Fax:727-323-1583
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCHOOO5204111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70857Medicare ID - Type Unspecified