Wellformed AI

NPI 1013023399 · live from the CMS NPI Registry

Edgard Olbany Andrade, MD

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Gainesville, FL. National Provider Identifier 1013023399, active.

NPI record

NPI1013023399 Type 1 · individual
StatusActive
Primary specialtyPsychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X
Practice location1600 Sw Archer Rd, Gainesville, FL 32610
Practice phone352-392-6442
Mailing addressPo Box 100296, Gainesville, FL 32610
EnumeratedAugust 21, 2006
Last updatedAugust 18, 2023
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Epilepsy2084E0001XME88713 (FL)
Pediatrics208000000XME88713 (FL)
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary2084N0402XME88713 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.