Most Relevant Information
Provider Data
| NPI Number: | 1003590985 |
| Provider Name: | JHON ANDRAOUS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | DN28339 |
Most Important Dates
| Enumeration Date: | 06/12/2023 |
| Last Updated: | 11/16/2023 |
Provider Practice Location
9682 US HIGHWAY 19
PORT RICHEY
FL
346684642
Practice Location Phone/Fax
| Phone: | 7278422422 |
| Fax: |
Provider Mailing Location
2980 SHANNON CIR
PALM HARBOR
FL
346841877
Provider Mailing Phone/Fax
| Phone: | 7273032493 |
| Fax: |