Individual
MRS. MARIA ANGELICA BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
920 S. MYRTLE AVE, STE#A, CLEARWATER, FL 33756-3918
(727) 462-0444
(727) 462-0446
Mailing address
920 S. MYRTLE AVE, STE#A, CLEARWATER, FL 33756-3918
(727) 462-0444
(727) 462-0446
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102624
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9102624
LICENSE #
FL
Enumeration date
01/02/2007
Last updated
01/05/2012
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