Provider Demographics
NPI:1801289608
Name:SALAZAR, ANDREA ISABEL (PA-C)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:ISABEL
Last Name:SALAZAR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8950 N KENDALL DR
Mailing Address - Street 2:SUITE 601
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2144
Mailing Address - Country:US
Mailing Address - Phone:305-279-4500
Mailing Address - Fax:305-412-5712
Practice Address - Street 1:8950 N KENDALL DR
Practice Address - Street 2:SUITE 601
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2144
Practice Address - Country:US
Practice Address - Phone:305-279-4500
Practice Address - Fax:305-412-5712
Is Sole Proprietor?:No
Enumeration Date:2015-03-18
Last Update Date:2015-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9108563363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant