Hebra, Andre

Hebra, Andre is an individual health care provider with primary practice located at 22655 Bayshore Rd Ste 110 , Port Charlotte FL 33980-2005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Hebra, Andre can be contacted via phone (941) 235-4900.

Contact Information

Primary practice address
22655 Bayshore Rd Ste 110 Port Charlotte FL 33980-2005
Phone: (941) 235-4900
Fax: (941) 235-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X ME83890 Florida
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 13964 South Carolina

Profile Details

NPI number 1770532996
LBN Legal business name Hebra, Andre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Jun 27th, 2024 - about 3 months 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 1770532996 NPPES
Florida MEDICAID 019156800
Florida MEDICAID 263327200

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