Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Latrese S Andre, PAC

Individual provider Physician Assistant · NPI 1821196924

MS. Latrese S Andre, PAC is a Physician Assistant in Jacksonville, Florida. Qualified in 1998, 28 years ago. Practices with Cardiothoracic and Vascular Surgical Associates PA, a 85-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
28
Licensed in
FL
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1000 Riverside Ave Ste 200
Jacksonville, FL 32204-4154
Phone: (904) 388-7521
Fax: (904) 388-3541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA100931 (FL)

Record details

NPI number1821196924
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Cardiothoracic And Vascular Surgical Associates Pa — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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