Provider Information for 1013367937
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Ms. ANDREA KIVINSKI BLUMSTEIN
Other Names:Professional Name:Ms. ANDREA KIVINSKI BLUMSTEIN Ed.S.Sex: Female
NPI: 1013367937
Last Updated: 2021-03-05
Certification Date: 2021-03-05
Certification Date: 2021-03-05
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1013367937 | ||||||||
| Enumeration Date | 2016-06-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2222 COLONIAL RD STE 100 FORT PIERCE, FL 34950-5309 United States Phone: 772-489-4726 | Fax: | ||||||||
| Primary Practice Address | 2222 COLONIAL RD STE 100 FORT PIERCE, FL 34950-5309 United States Phone: 772-489-4726 | Fax: | ||||||||
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