Angell, Geoffrey Graeme

Angell, Geoffrey Graeme is an sole proprietor health care provider with primary practice located at 4164 Lonicera Loop , Saint Johns FL 32259-4531. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Angell, Geoffrey Graeme can be contacted via phone (904) 891-1179.

Contact Information

Primary practice address
4164 Lonicera Loop Saint Johns FL 32259-4531
Phone: (904) 891-1179
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 21700 Florida

Profile Details

NPI number 1457691065
LBN Legal business name Angell, Geoffrey Graeme
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2013
Last updated Jul 20th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457691065 NPPES
Florida MEDICAID 010501100

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