Individual
ANGELA DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1314 OAK ST, MELBOURNE, FL 32901-3111
(321) 727-7992
(321) 727-7664
Mailing address
1314 OAK ST, MELBOURNE, FL 32901-3111
(321) 727-7992
(321) 727-7664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11014205
FL
Other
Enumeration date
07/19/2021
Last updated
05/18/2023
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