Andrea Marie Antelo | South Miami, FL • PECOS Search

Andrea Marie Antelo

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

6280 Sunset Dr Ste 504, South Miami, FL 33143-4870

(305) 666-1774 (305) 213-9922

PECOS Enrollment

Based on the most recent information from CMS, provider Andrea Marie Antelo does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 10:37 AM.

Profile Details

Provider ID
1619452844
Provider Type
Individual
Full Name
Antelo, Andrea Marie
Title
Mrs.
Credential
ARNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/3/2018
Last Updated
3/10/2021

Contact Information

Practice Location

6280 Sunset Dr Ste 504, South Miami, FL 33143-4870

Unlisted Fax

Mailing Location

10520 SW 125th St, Miami, FL 33176-4728

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 9387512 Florida