Provider Demographics
NPI:1407051345
Name:ARSENE-WEEKS, ANDREEA M (MD)
Entity Type:Individual
Prefix:
First Name:ANDREEA
Middle Name:M
Last Name:ARSENE-WEEKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5130 SUNFOREST DR STE 300
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-6327
Mailing Address - Country:US
Mailing Address - Phone:278-240-7807
Mailing Address - Fax:727-568-6011
Practice Address - Street 1:609 VIRGINIA DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1844
Practice Address - Country:US
Practice Address - Phone:407-841-7730
Practice Address - Fax:407-841-7660
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98907207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1407051345OtherNPI
FL279089100Medicaid
FL1407051345OtherNPI
AE660XMedicare PIN