Individual
DRUE DEANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9325 GLADES RD STE 208, BOCA RATON, FL 33434-3988
(561) 898-0020
Mailing address
9325 GLADES RD STE 208, BOCA RATON, FL 33434-3988
(561) 898-0020
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9116579
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
01/05/2021
Last updated
08/13/2024
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