Avondstondt, Andrea Mithai

Avondstondt, Andrea Mithai is an sole proprietor health care provider with primary practice located at 293 Nw Peacock Blvd Ste 202 , Port St Lucie FL 34986-2222. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Avondstondt, Andrea Mithai can be contacted via phone (772) 878-6599.

Contact Information

Primary practice address
293 Nw Peacock Blvd Ste 202 Port St Lucie FL 34986-2222
Phone: (772) 878-6599
Fax: (772) 871-2905
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME144716 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X P27666 Maryland
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X ME144716 Florida

Profile Details

NPI number 1821358839
LBN Legal business name Avondstondt, Andrea Mithai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2012
Last updated Aug 5th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821358839 NPPES
Maryland MEDICAID 1821358839

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