Mintz, Angela P

Mintz, Angela P is an individual health care provider with primary practice located at 5150 Bayou Blvd Ste 1N, Pensacola FL 32503-2158. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Mintz, Angela P can be contacted via phone (850) 416-7656.

Contact Information

Primary practice address
5150 Bayou Blvd Ste 1N Pensacola FL 32503-2158
Phone: (850) 416-7656
Fax: (850) 416-7348
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X ME0077193 Florida

Profile Details

NPI number 1285776682
LBN Legal business name Mintz, Angela P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jun 29th, 2010 - about 16 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 1285776682 NPPES
Florida MEDICAID 259332700

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