DR. ANDREA MITHAI AVONDSTONDT (NPI# 1821358839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821358839 |
| Entity Type | Individual |
| Full Name | DR. ANDREA MITHAI AVONDSTONDT |
| Credential | M.D. |
| Practice Address |
293 Nw Peacock Blvd Ste 202 Port St Lucie FL 34986-2222 |
| Practice Telephone | 7728786599 |
| Practice Fax Number | 7728712905 |
| Mailing Telephone | 7728786599 |
| Mailing Fax Number | 7728712905 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | ME144716 | FL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | P27666 | MD | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
ME144716 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1821358839 | 05 |
| Street Address |
293 NW PEACOCK BLVD STE 202 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34986-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245529551 | Meshach P Heenatigala | Surgery | 293 Nw Peacock Blvd Ste 202, Port St Lucie, FL 34986 | 2011-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992933 | Lindsay B Rojas | Occupational Therapist | 827 Sw Grand Reserves Blvd, Port St Lucie, FL 34986 | 2018-05-15 |
| 1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
| 1740634930 | The Toledo Clinic, LLC | Clinic/Center | 5481 Nw East Torino Parkway, Port St. Lucie, FL 34986 | 2016-04-14 |
| 1326407230 | Merline Smellie | Social Worker | 525 Nw Lake Whitney Place, Ste 102 & 103, Port St Lucie, FL 34986 | 2016-02-19 |
| 1124486949 | Therapy Connection of The Treasure Coast | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port St Lucie, FL 34986 | 2016-02-08 |
| 1689050015 | Yudelquis Comas Sanchez | Internal Medicine | Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 | 2015-08-07 |
| 1689056889 | Joshua Chupp | Dentist | 1384 Sw St. Lucie West Blvd, Port St. Lucie, FL 34986 | 2015-06-24 |
| 1366821720 | Kids Therapy Solutions | Occupational Therapist | 161 Sw Palm Dr # 201, Port St Lucie, FL 34986 | 2015-05-19 |
| 1134514086 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1384 Sw St. Lucie, Port St. Lucie, FL 34986 | 2015-03-30 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| Find all providers in zip 34986 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016844 | Mariana Bubucea Md.,p.a. | Obstetrics & Gynecology | 2500 E Hallandale Beach Blvd Ste 401, Hallandale Beach, FL 33009-4835 | 2018-06-07 |
| 1720474091 | Womens Pelvic Health & Incontinence Solutions Inc | Obstetrics & Gynecology | 8451 Nw 78th Ct, Tamarac, FL 33321-1617 | 2015-04-13 |
| 1346406345 | Sarah M. St. Louis | Obstetrics & Gynecology | 70 W Gore St Ste 201, Orlando, FL 32806 | 2008-07-30 |
| 1386823243 | Florida Woman Care, LLC | Obstetrics & Gynecology | 1501 Yamato Road, Suite 200 West, Boca Raton, FL 33431 | 2007-10-29 |
| 1487843520 | Kristie A Greene | Obstetrics & Gynecology | 2 Tampa General Cir Fl Cir6, Tampa, FL 33606-3603 | 2007-10-15 |
| 1134214802 | Christian Quintero | Obstetrics & Gynecology | 450 N Park Rd Ste 202, Hollywood, FL 33021-6987 | 2006-10-04 |
| 1376651091 | Woman To Woman Gyn of Naples | Obstetrics & Gynecology | 3920 Via Del Rey, Suite 1, Bonita Springs, FL 34134-7594 | 2006-08-25 |
| 1174518401 | Lee Brandon Epstein | Obstetrics & Gynecology | 228 3rd Avenue South, Suite 100, Jacksonville Beach, FL 32250 | 2005-09-13 |
| 1982227104 | Bellefull LLC | Obstetrics & Gynecology | 9580 N Us Highway 301, Wildwood, FL 34785-8772 | 2020-05-21 |
| 1184189169 | Bela Urogynecology LLC | Obstetrics & Gynecology | 1178 Cypress Glen Cir Ste 2, Kissimmee, FL 34741-7560 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34986 |
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| 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.