# ANGELA KEON MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629839147
- **Authorized official:** ANGELA KEON MD (MD /OWNER)
- **Authorized official phone:** (941) 205-8755

## Contact information

- **Practice address:** 100 MADRID BLVD UNIT 311, PUNTA GORDA, FL 33950-7906
- **Practice address phone:** (941) 205-8755
- **Practice address fax:** (941) 205-8762
- **Mailing address:** 100 MADRID BLVD UNIT 311, PUNTA GORDA, FL 33950-7906
- **Mailing address phone:** (941) 205-8755
- **Mailing address fax:** (941) 205-8762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2024
- **Last updated:** 01/22/2024