Individual
ANGELINA DEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
12271 US HIGHWAY 301 N, PARRISH, FL 34219-8410
(941) 708-7669
(941) 708-8893
Mailing address
PO BOX 499, PARRISH, FL 34219-0499
(941) 708-7669
(941) 708-8893
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
UO2248
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005527000
—
FL
Enumeration date
07/10/2010
Last updated
01/24/2013
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