Angelo, Debra Gail
Angelo, Debra Gail is an sole proprietor health care provider with primary practice located at 9332 State Road 54 Ste 302 , Trinity FL 34655-1810. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Angelo, Debra Gail can be contacted via phone (727) 834-4450.Contact Information
Primary practice address
9332 State Road 54 Ste 302
Trinity FL 34655-1810
Phone: (727) 834-4450
Fax: (727) 816-2151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-094510 | Ohio |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | ME108038 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME108038 | Florida |
Profile Details
| NPI number | 1174852362 |
|---|---|
| LBN Legal business name | Angelo, Debra Gail |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2009 |
| Last updated | May 23rd, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174852362 | NPPES |
| Florida | MEDICAID | 110400300 |
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