Provider Demographics
NPI:1568491991
Name:CONTI, ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:CONTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 N US HIGHWAY 441
Mailing Address - Street 2:BUILDING 910, SUITE 912
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32159-8975
Mailing Address - Country:US
Mailing Address - Phone:352-750-1277
Mailing Address - Fax:352-750-1458
Practice Address - Street 1:1400 N US HIGHWAY 441
Practice Address - Street 2:BUILDING 910, SUITE 912
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159-8975
Practice Address - Country:US
Practice Address - Phone:352-750-1277
Practice Address - Fax:352-750-1458
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME75803207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL254963800Medicaid
FL43783OtherMEDICARE
G78955Medicare UPIN