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Individual

DR. DEBRA GAIL ANGELO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9332 STATE ROAD 54 STE 302, TRINITY, FL 34655-1810
(727) 834-4450
(727) 816-2151
Mailing address
PO BOX 645743, CINCINNATI, OH 45264-5743
(855) 689-5105
(888) 507-9833

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-094510
OH
207R00000X
Internal Medicine Physician
Primary
ME108038
FL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
ME108038
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110400300
FL
Enumeration date
12/17/2009
Last updated
05/23/2023
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