# MS. ANGELA P LAUBE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366815870
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA9109310 | FL | Yes |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | PA9109310 | FL | — |

## Other

- **Enumeration date:** 11/05/2015
- **Last updated:** 07/10/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 017334600 | — | FL |
| 01 | — | IN651W | PTAN | FL |
| 01 | — | Y01T7 | BCBS FL | FL |