Individual
MRS. ANGEL ADELLA ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP CPNP-PC
Contact information
Practice address
131 N OAKWOOD AVE, BRANDON, FL 33510-4629
(813) 655-5106
Mailing address
131 N OAKWOOD AVE, BRANDON, FL 33510-4629
(813) 655-5106
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9367219
FL
Other
Enumeration date
09/10/2018
Last updated
02/26/2019
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