Deyong, Angela Kaye

Deyong, Angela Kaye is an individual health care provider with primary practice located at 4821 Us Highway 98 W Ste 104, Santa Rosa Beach FL 32459-8572. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Deyong, Angela Kaye can be contacted via phone (850) 622-2055.

Contact Information

Primary practice address
4821 Us Highway 98 W Ste 104 Santa Rosa Beach FL 32459-8572
Phone: (850) 622-2055
Fax: (850) 622-2053
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9300931 Florida

Profile Details

NPI number 1326480344
LBN Legal business name Deyong, Angela Kaye
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2013
Last updated May 2nd, 2017 - about 8 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 1326480344 NPPES
Florida MEDICAID 013431500
Florida Other Y0P4Q

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