Provider Demographics
NPI:1962443143
Name:ANDREWS, ENA MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ENA
Middle Name:MICHELLE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1033 DR MARTIN LUTHER KING JR ST N
Mailing Address - Street 2:STE. 108
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-1547
Mailing Address - Country:US
Mailing Address - Phone:727-456-4250
Mailing Address - Fax:727-346-1044
Practice Address - Street 1:625 6TH AVE S
Practice Address - Street 2:SUITE #405
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4662
Practice Address - Country:US
Practice Address - Phone:727-498-8994
Practice Address - Fax:727-498-8982
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2015-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL953412084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274882700Medicaid