Provider Demographics
NPI:1740229160
Name:BRICE, ANDREW NELSON (PT/ATC)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:NELSON
Last Name:BRICE
Suffix:
Gender:M
Credentials:PT/ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:2230 SE 114TH AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISTON
Mailing Address - State:FL
Mailing Address - Zip Code:32668-2147
Mailing Address - Country:US
Mailing Address - Phone:352-486-5758
Mailing Address - Fax:
Practice Address - Street 1:506 SW 5TH TER
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:FL
Practice Address - Zip Code:32696-2548
Practice Address - Country:US
Practice Address - Phone:353-528-0022
Practice Address - Fax:352-528-2878
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 80942251S0007X, 2251X0800X
FLAL 4842255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY4752ZMedicare ID - Type UnspecifiedPHYSICAL THERAPY