Basic Information
| Provider Information | |||||||||
| NPI: | 1417350455 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ANDONE | ||||||||
| FirstName: | ALEXANDER | ||||||||
| MiddleName: | IGNACIO | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12839 ROYAL GEORGE AVE | ||||||||
| Address2: | |||||||||
| City: | ODESSA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 335565708 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7065755736 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1901 ULMERTON RD STE 450 | ||||||||
| Address2: | |||||||||
| City: | CLEARWATER | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337622300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7272108104 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2014 | ||||||||
| LastUpdateDate: | 02/10/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN9384089 | FL | N | Nursing Service Providers | Registered Nurse | 367500000X | ARNP9384089 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.