# ANGEL OAK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1780243311
- **Authorized official:** MRS. ELAINE DE CIUTIIS (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (352) 584-7473

## Contact information

- **Practice address:** 1591 LARKIN RD, SPRING HILL, FL 34608-6451
- **Practice address phone:** (352) 584-7473
- **Practice address fax:** (352) 556-2612
- **Mailing address:** 1591 LARKIN RD, SPRING HILL, FL 34608-6451
- **Mailing address phone:** (352) 584-7473
- **Mailing address fax:** (352) 556-2612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2019
- **Last updated:** 06/07/2019