Individual
ANGELA KATHLEEN SHEFFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11404 PALDAO RD, TAMPA, FL 33618-3924
(352) 584-6414
Mailing address
11404 PALDAO RD, TAMPA, FL 33618-3924
(352) 584-6414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109232
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018502600
—
FL
01
—
KV2CW
BLUE CROSS
FL
Enumeration date
08/15/2016
Last updated
07/01/2021
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