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Individual

ANGEL R EPSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1220 WILLIS AVE, DAYTONA BEACH, FL 32114-2810
(386) 236-3200
(386) 236-3161
Mailing address
1220 WILLIS AVE, DAYTONA BEACH, FL 32114-2810
(386) 236-3200
(386) 236-3161

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW5736
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
654342
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
654342
RN
FL
Enumeration date
12/12/2006
Last updated
01/21/2009
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