Provider Demographics
NPI:1174567960
Name:SINDER, ANDREW F (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:F
Last Name:SINDER
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 1:15255 MAX LEGGETT PKWY STE 4000
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-7277
Mailing Address - Country:US
Mailing Address - Phone:904-383-1540
Mailing Address - Fax:
Practice Address - Street 1:15255 MAX LEGGETT PKWY STE 4000
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-7277
Practice Address - Country:US
Practice Address - Phone:904-383-1540
Practice Address - Fax:904-383-1413
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME115856208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009347800Medicaid
FL009347800Medicaid