Provider Demographics
NPI:1366818973
Name:PRESTIANNI, ANDREW JOSEPH (PA-C)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:JOSEPH
Last Name:PRESTIANNI
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1355 37TH ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-7321
Mailing Address - Country:US
Mailing Address - Phone:772-569-7606
Mailing Address - Fax:772-569-7628
Practice Address - Street 1:1355 37TH ST
Practice Address - Street 2:SUITE 303
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-7321
Practice Address - Country:US
Practice Address - Phone:772-569-7606
Practice Address - Fax:772-569-7628
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
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Provider Licenses
StateLicense IDTaxonomies
FLPA9108868363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant