Andrea M Prince, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME150481 Issued in FL

Practice address

8409 SW 80TH St Ste 8
Ocala, FL 34481-9117

Phone

(352) 414-1922

Fax

(844) 388-6186

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Medical Associates LLC

  • Primary Care Clinic/Center
  • Lady Lake, FL
  • NPI 1336153709

  FL

  Medicare reassignment NPD
• Vipcare Dental PLLC

  • Dental Clinic/Center
  • Ocala, FL
  • NPI 1467969444
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1841364577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8409 SW 80TH ST STE 8",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344819117",
            "telephone_number": "352-414-1922",
            "fax_number": "844-388-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8409 SW 80TH ST STE 8",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344819117",
            "telephone_number": "352-414-1922",
            "fax_number": "844-388-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "ANDREA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME150481",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "14807",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125447",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primary Care Providers Inc
• Primary Care Solutions, Inc
• Primary Care Specialists of North Florida LLC
• Primary Medical Services Inc
• Jacqueline Ann Primis, DMD
• Jessica Principe
• Bryan Rodger Prine Jr., MD
• Alan Dale Pringle II, CRNA
• Ida Pringle
• Kristin S Pringle, MA, AA, PT, PT INSTR

• All providers in Ocala, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.