Provider Demographics
NPI:1972979110
Name:ANDUJAR, ALEJANDRA (BS)
Entity Type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:
Last Name:ANDUJAR
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6910 CASTILLO CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-3920
Mailing Address - Country:US
Mailing Address - Phone:239-222-7201
Mailing Address - Fax:
Practice Address - Street 1:6910 CASTILLO CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-3920
Practice Address - Country:US
Practice Address - Phone:239-222-7201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management