Provider Demographics
NPI:1407821879
Name:ANDREWS, PHILLIP E (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:E
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING AND RELATIONS
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:39 BARKLEY CIR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-7531
Practice Address - Country:US
Practice Address - Phone:239-936-1616
Practice Address - Fax:239-936-0837
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME19727207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL36180OtherBCBS OF FL
FLP01283309OtherRAILROAD MCR
FL15620OtherWELLCARE
FL1613500OtherCIGNA
FL277515OtherAVMED
FL4197496OtherAETNA
FLP108574OtherFREEDOM HEALTH
FL052458100Medicaid
FLP952419OtherOPTIMUM
FLP952419OtherOPTIMUM
FL36180YMedicare PIN