Individual
MS. ANGELA P LAUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3003 W DR MARTIN LUTHER KING JR BLVD FL 2, TAMPA, FL 33607-6307
(813) 554-8135
(813) 605-6098
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109310
FL
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
PA9109310
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017334600
—
FL
01
—
IN651W
PTAN
FL
01
—
Y01T7
BCBS FL
FL
Enumeration date
11/05/2015
Last updated
07/10/2019
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