Andronic, Maura

Andronic, Maura is an individual health care provider with primary practice located at 1000 Mar Walt Dr , Fort Walton Beach FL 32547-6708. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Andronic, Maura can be contacted via phone (850) 729-9343.

Contact Information

Primary practice address
1000 Mar Walt Dr Fort Walton Beach FL 32547-6708
Phone: (850) 729-9343
Fax: (855) 373-3605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35078267 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME142925 Florida

Profile Details

NPI number 1588704407
LBN Legal business name Andronic, Maura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Oct 22nd, 2019 - about 7 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 1588704407 NPPES
West Virginia Other 000062778 MOUNTAIN STATE BCBS
West Virginia Other 000000217363 MOUNTAIN STATE BCBS
West Virginia Other 163348 MOUNTAIN STATE BCBS
West Virginia Other 1055236 MOUNTAIN STATE BCBS
West Virginia MEDICAID 2188707 MOUNTAIN STATE BCBS
West Virginia Other 267472000 MOUNTAIN STATE BCBS

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