Provider Demographics
NPI:1417277906
Name:SCHMUTZ, ANDREA STEFANIE (DOM, AP)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:STEFANIE
Last Name:SCHMUTZ
Suffix:
Gender:F
Credentials:DOM, AP
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:STEFANIE
Other - Last Name:SCHMUTZ-GONZALEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3115 NE 184TH ST
Mailing Address - Street 2:#4304
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2490
Mailing Address - Country:US
Mailing Address - Phone:786-303-0611
Mailing Address - Fax:
Practice Address - Street 1:17971 BISCAYNE BLVD
Practice Address - Street 2:110
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-2578
Practice Address - Country:US
Practice Address - Phone:786-537-7022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-07
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2542171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist