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Andrew Massaband
Student in an Organized Health Care Education/Training Program in Brooksville, Florida
NPI 1609495886

Andrew Massaband is a Student in an Organized Health Care Education/Training Program based in Los Angeles, FL. Andrew Massaband practices in Brooksville, FL. The NPI Number for Andrew Massaband is 1609495886 and holds a License No. ME161290 (Florida).

The current practice location address for Andrew Massaband is 11375 Cortez Blvd, Brooksville, FL and can be reached out via phone at 352-596-6632.

Location: 11375 Cortez Blvd, Brooksville, FL, 90024-5512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609495886
Provider Name
Andrew Massaband
Credential
Provider Entity Type
Individual
Gender
Male
Address
11375 Cortez Blvd, Brooksville, FL, 90024-5512
Phone Number
352-596-6632
Fax Number
Provider Enumeration Date
04/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11375 Cortez Blvd
City
Brooksville
State
Florida
Zip
34613-5409
Phone Number
352-596-6632
Fax Number
person
Provider Business Mailing Address Details
Address
11375 Cortez Blvd
City
Brooksville
State
Florida
Zip
34613-5409
Phone Number
352-596-6632
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
ME161290 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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