Provider Demographics
NPI:1275000119
Name:QUEVEDO, ANDRES RAMON (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:ANDRES
Middle Name:RAMON
Last Name:QUEVEDO
Suffix:
Gender:M
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 JFK DR STE 102
Mailing Address - Street 2:
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6604
Mailing Address - Country:US
Mailing Address - Phone:561-439-0961
Mailing Address - Fax:561-439-0963
Practice Address - Street 1:160 JFK DR STE 102
Practice Address - Street 2:
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-6604
Practice Address - Country:US
Practice Address - Phone:561-439-0961
Practice Address - Fax:561-439-0963
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9325948363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily