Provider Demographics
NPI:1528562584
Name:MISER, ANDREA CLAIRE (DO)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:CLAIRE
Last Name:MISER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3949 SW COLLEGE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-5713
Mailing Address - Country:US
Mailing Address - Phone:352-401-8800
Mailing Address - Fax:
Practice Address - Street 1:3949 SW COLLEGE RD STE 100
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5713
Practice Address - Country:US
Practice Address - Phone:352-401-8800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-22
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS18746207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine