Provider Demographics
NPI:1255979449
Name:ANDREW PLEENER, MD, P.A.
Entity type:Organization
Organization Name:ANDREW PLEENER, MD, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:PLEENER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-461-5137
Mailing Address - Street 1:11300 CITRA CIR APT 108
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-5944
Mailing Address - Country:US
Mailing Address - Phone:301-461-5137
Mailing Address - Fax:
Practice Address - Street 1:9100 CONROY WINDERMERE RD STE 269
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-8431
Practice Address - Country:US
Practice Address - Phone:407-462-1254
Practice Address - Fax:407-604-6614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-18
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty