Doctor Name: | PHILIP CHARLES D'ANGELO |
NPI Number: | 1255350518 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME48127 |
Business Practice Address: | 8150 Sw Highway 200 Suite 400 Ocala, FL - 344819685 |
Business Phone Number: | 3528611667 |
Business Fax Number: | 3528611659 |
Mailing Address: | 2405 Se 17th St, Suite 201 OCALA |
State: | FL |
Postal Code: | 344719192 |
Phone Number: | 3526902171 |
Fax Number: | 3526906954 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 07/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME48127 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |