Organization
CHANGES FAMILY PRACTICE CLINIC
Active
Other names
NA
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA D ENGRAM ARNP (PRESIDENT)
(561) 899-9140
Entity
Organization
Contact information
Practice address
31 W 20TH ST, RIVIERA BEACH, FL 33404-6155
(561) 899-9140
(561) 331-2715
Mailing address
1531 W 12TH ST, RIVIERA BEACH, FL 33404-6512
(561) 899-9140
(561) 331-2715
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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