Berecz-Prewitt, Andrea
Berecz-Prewitt, Andrea is an individual health care provider with primary practice located at 2400 Harbor Blvd Ste 7 , Port Charlotte FL 33952-5038. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Berecz-Prewitt, Andrea can be contacted via phone (941) 766-5095.Contact Information
Primary practice address
2400 Harbor Blvd Ste 7
Port Charlotte FL 33952-5038
Phone: (941) 766-5095
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9112497 | Florida |
Profile Details
| NPI number | 1750930731 |
|---|---|
| LBN Legal business name | Berecz-Prewitt, Andrea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2019 |
| Last updated | Sep 9th, 2026 - about last month |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750930731 | NPPES |
| Florida | MEDICAID | 104195300 | |
| Florida | Other | V1DWC |
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