Individual
MICHAEL ANGELORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
995 MAR WALT DR, FORT WALTON BEACH, FL 32547-6758
(850) 863-7887
Mailing address
1405 WINDWARD LN, NICEVILLE, FL 32578-4343
(850) 897-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
050542
ME
367500000X
Certified Registered Nurse Anesthetist
053324-23-11
NH
367500000X
Certified Registered Nurse Anesthetist
155292
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3065242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000694196C
—
GA
Enumeration date
05/02/2006
Last updated
05/30/2011
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