Individual
ANGELLINE OPAL BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2585 S STATE ROAD 7, SUITE 110, WELLINGTON, FL 33414-9323
(561) 795-8655
(561) 795-8449
Mailing address
2585 S STATE ROAD 7, SUITE 110, WELLINGTON, FL 33414-9323
(561) 795-8655
(561) 795-8449
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9235172
FL
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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