# DR. MICHAEL ANGELIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1770577504
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204F00000X | Transplant Surgery Physician | ME 78250 | FL | Yes |
| 208600000X | Surgery Physician | ME 78250 | FL | — |

## Other

- **Enumeration date:** 09/08/2005
- **Last updated:** 03/03/2016