Provider Demographics
NPI:1881702785
Name:ANDREW HAWRYCH, M.D., P.A.
Entity type:Organization
Organization Name:ANDREW HAWRYCH, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWRYCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-593-5000
Mailing Address - Street 1:PO BOX 770931
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34107-0931
Mailing Address - Country:US
Mailing Address - Phone:239-593-5000
Mailing Address - Fax:
Practice Address - Street 1:840 111TH AVE N
Practice Address - Street 2:SUITE 4
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-1877
Practice Address - Country:US
Practice Address - Phone:239-593-5000
Practice Address - Fax:239-593-4902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL35590Medicare PIN