Individual
ANGELICA RAY KRAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 LYNWOOD LN, ORMOND BEACH, FL 32174-4229
(386) 453-8680
Mailing address
128 LYNWOOD LN, ORMOND BEACH, FL 32174-4229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9113694
FL DEPARTMENT OF HEALTH
FL
Enumeration date
04/22/2019
Last updated
10/27/2020
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