DR. KENNETH C. ANDRONICO (NPI# 1134398167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134398167 |
| Entity Type | Individual |
| Full Name | DR. KENNETH C. ANDRONICO |
| Credential | D.O. |
| Practice Address |
28945 State Road 54 Suite 101 Wesley Chapel FL 33543 |
| Practice Telephone | 8139070950 |
| Practice Fax Number | 8139077949 |
| Mailing Telephone | 8139070950 |
| Mailing Fax Number | 8139077949 |
| Enumeration Date | 2008-02-24 |
| Last Update Date | 2016-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | OS-0004967 | FL | Allopathic & Osteopathic Physicians |
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
4967 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
28945 STATE ROAD 54 SUITE 101 |
| City | WESLEY CHAPEL |
| State | FL |
| Zip Code | 33543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629443643 | Rejuva Med | Optometrist | 28945 State Road 54, Suite 101, Wesley Chapel, FL 33543 | 2015-12-02 |
| 1326440868 | Wesley Chapel Neurology, P.a. | Nurse Practitioner | 28945 State Road 54, Suite 102, Wesley Chapel, FL 33543 | 2014-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124162 | Damien Marquell Jones | Massage Therapist | 2122 Shelbourne Ct, Wesley Chapel, FL 33543 | 2018-08-21 |
| 1518452051 | Julian Fernandez-hodge | Specialist/Technologist | 4730 Pointe O Woods Dr, Wesley Chapel, FL 33543 | 2018-06-27 |
| 1780101394 | Angels Caretakers LLC | Home Health | 5100 Dancing Bay Ln, Wesley Chapel, FL 33543 | 2017-08-24 |
| 1982052965 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 28150 Willet Way, Wesley Chapel, FL 33543 | 2016-05-31 |
| 1881078384 | Abrahams Family Chiropractic, LLC | Chiropractor | 28963 State Road 54, Wesley Chapel, FL 33543 | 2015-07-14 |
| 1598151938 | Jennifer Pernas Boucher | Family Medicine | 30000 County Line Rd, Wesley Chapel, FL 33543 | 2015-04-13 |
| 1639591886 | Angela Recht | Behavioral Analyst | 31057 Mandolin Cay Ave, Wesley Chapel, FL 33543 | 2014-01-07 |
| 1811336902 | Ten Broeck Tampa, LLC | Substance Abuse Rehabilitation Facility | 29910 State Route 56, Wesley Chapel, FL 33543 | 2013-06-21 |
| 1104070101 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 30050 County Line Rd, Wesley Chapel, FL 33543 | 2008-11-05 |
| 1568610293 | Apex Dental | Dentist | 1207 Bruce B Downs Blvd, Suite 1, Wesley Chapel, FL 33543 | 2008-09-06 |
| Find all providers in zip 33543 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272868 | Lifegaines Medical and Aesthetics | Preventive Medicine | 3785 N Federal Hwy, Suite 150, Boca Raton, FL 33431 | 2020-07-22 |
| 1174147193 | Virtu30 Telehealth Services | Preventive Medicine | 1540 16th St Ne, Naples, FL 34120-3447 | 2020-06-05 |
| 1407477821 | Paramount Medical Specialists | Preventive Medicine | 5550 Glades Road Suite, Ste 500, #1024, Boca Raton, FL 33431 | 2020-04-27 |
| 1659990521 | Nickson Henry | Preventive Medicine | 4700 Portofino Way Apt 201, West Palm Beach, FL 33409-8174 | 2020-04-10 |
| 1609402619 | Bro Roc, LLC | Preventive Medicine | 1809 Ne 59th St, Fort Lauderdale, FL 33308-2443 | 2020-03-21 |
| 1306353776 | Roxanne Summerville | Preventive Medicine | 1064 N Tamiami Trl Unit 1302, Sarasota, FL 34236-2475 | 2018-01-06 |
| 1659884039 | Donald Joseph Crane | Preventive Medicine | 3125 Merion Dr, Miramar Beach, FL 32550-7887 | 2017-11-08 |
| 1801257183 | Sofia Abigail Funes | Preventive Medicine | 8 Hemlock Circle Ct, Ocala, FL 34472-9092 | 2016-03-14 |
| 1669850640 | Lareece Long | Preventive Medicine | 715 Bellshire Way, Winter Garden, FL 34787-2430 | 2015-05-11 |
| 1770908477 | Robert David Willix Jr. | Preventive Medicine | 501 E Camino Real, Boca Raton, FL 33432-6127 | 2014-03-04 |
| Find all providers with the same taxonomy | ||||
| City | WESLEY CHAPEL |
| Zip Code | 33543 |
Please comment or provide details below to improve the information on DR. KENNETH C. ANDRONICO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.