DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. LATRESE S ANDRE, PAC

Active

MS. LATRESE S ANDRE, PAC is a Physician Assistant healthcare provider located in JACKSONVILLE, Florida. NPI 1821196924 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · JACKSONVILLE, FL

Registration Details

NPI Number
1821196924
Provider Type
Individual
Gender
Female
NPI Issued
Sep 20, 2006 (19.86818804684 yrs)
Last Updated
Mar 31, 2025
License
PA100931 (FL)

Practice Information

Address
1000 RIVERSIDE AVE STE 200
JACKSONVILLE, FL, 322044154
Browse FL providers · Browse ZIP 32204
Phone
9043887521
Fax
9043883541
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in JACKSONVILLE, FL

Name Credential NPI
MR. JASON KOTULA P.A. 1548263882
DANIEL A BECK PA-C 1780688465
JOHN MICHAEL TIERNEY PA 1124023445
KAREN ELAINE MAYES PA 1437154887
EDWIN HAUSER PA 1760487185
PETER J RIGGS PA 1255336574
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.