Provider Demographics
NPI:1326033440
Name:ANDREWS, DAVID FRANK (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:FRANK
Last Name:ANDREWS
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 1:1717 N E ST
Mailing Address - Street 2:STE 231
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-6396
Mailing Address - Country:US
Mailing Address - Phone:850-444-4785
Mailing Address - Fax:850-434-2647
Practice Address - Street 1:1717 N E ST
Practice Address - Street 2:STE 231
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-6396
Practice Address - Country:US
Practice Address - Phone:850-444-4785
Practice Address - Fax:850-434-2647
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0078699207RH0003X
AL20363207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL257024600Medicaid
FL46991OtherBCBS FL INDIVIDUAL #
AL009912010Medicaid
AL009912010Medicaid
FL257024600Medicaid
FL46991ZMedicare ID - Type Unspecified