Individual
KENDRA DENISE DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
28050 US HWY 19 N #402, CLEARWATER, FL 33761-2629
(727) 285-8006
(727) 216-6560
Mailing address
28050 US HWY 19 N #402, CLEARWATER, FL 33761-2629
(727) 285-8006
(727) 216-6560
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME136932
FL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
136932
FL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
ME136932
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13809966
CAQH
FL
01
—
DUPRY
BCBS GROUP
—
01
—
LWBRR
BCBS
FL
Enumeration date
06/23/2011
Last updated
11/10/2025
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