Organization
ANGLIN MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICKEL WRAY ANGLIN MD (PRESIDENT)
(813) 672-1385
Entity
Organization
Contact information
Practice address
13045 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
(813) 672-1385
(813) 672-8904
Mailing address
13045 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
(813) 672-1385
(813) 672-8904
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME91647
FL
Other
Enumeration date
05/17/2007
Last updated
01/23/2019
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