Provider Demographics
NPI:1508142043
Name:GORMAN, ANDREW NEALE (VMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:NEALE
Last Name:GORMAN
Suffix:
Gender:M
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3148 DAVIS BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-4343
Mailing Address - Country:US
Mailing Address - Phone:239-774-3701
Mailing Address - Fax:239-775-9209
Practice Address - Street 1:3148 DAVIS BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-4343
Practice Address - Country:US
Practice Address - Phone:239-774-3701
Practice Address - Fax:239-775-9209
Is Sole Proprietor?:No
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8215174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian