Mishio, Angelo Marcus

Mishio, Angelo Marcus is an sole proprietor health care provider with primary practice located at 6002 Berryhill Rd , Milton FL 32570-5352. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Mishio, Angelo Marcus can be contacted via phone (850) 936-7880.

Contact Information

Primary practice address
6002 Berryhill Rd Milton FL 32570-5352
Phone: (850) 936-7880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9203321 Florida

Profile Details

NPI number 1962453969
LBN Legal business name Mishio, Angelo Marcus
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2006
Last updated Nov 16th, 2023 - about 3 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 1962453969 NPPES
Florida MEDICAID 267901900

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