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Individual

ANGELA LOUISE MOUHLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3601 SW 160TH AVE STE 250, SUITE 1000, MIRAMAR, FL 33027-6314
(877) 866-7123
Mailing address
880 KEMPSVILLE RD, SUITE 1000, NORFOLK, VA 23502-3931
(757) 261-5000
(757) 962-5610

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101252624
VA
208600000X
Surgery Physician
263636
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101252624
VA

Other

Enumeration date
06/16/2008
Last updated
04/15/2013
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