Provider Demographics
NPI:1023009966
Name:WERLE, ANDREAS H (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREAS
Middle Name:H
Last Name:WERLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2147
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33902-2147
Mailing Address - Country:US
Mailing Address - Phone:239-343-6050
Mailing Address - Fax:239-343-6136
Practice Address - Street 1:22655 BAYSHORE RD STE 110
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33980-2005
Practice Address - Country:US
Practice Address - Phone:941-235-4900
Practice Address - Fax:941-235-4901
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9010174400000X
CO42792207YP0228X
FLME121693207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO14426242Medicaid
FL013955900Medicaid
WY102300966Medicaid
NE1023009966Medicaid
FL013955900Medicaid