Individual
ANGEL I RIBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
240 N FREDERICK AVE, DAYTONA BEACH, FL 32114-3400
(386) 255-5569
(386) 256-4730
Mailing address
90 N LAKEWALK DR, PALM COAST, FL 32137-1304
(903) 445-9363
(833) 490-1306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PA9105286
FL
207RI0200X
Infectious Disease Physician
Primary
PA9105286
FL
261QC1500X
Community Health Clinic/Center
PA9105286
FL
261QP2300X
Primary Care Clinic/Center
PA9105286
FL
363A00000X
Physician Assistant
PA02326
TX
363AM0700X
Medical Physician Assistant
PA9105286
FL
Other
Enumeration date
03/14/2006
Last updated
11/17/2022
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