Individual
ANGELA M. MCCLEES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10647 BIG BEND RD STE 212, RIVERVIEW, FL 33579-7176
(813) 844-4600
(813) 844-1960
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1177
KY
363A00000X
Physician Assistant
Primary
PA9111465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104246500
—
FL
05
—
7100063840
—
KY
Enumeration date
11/05/2008
Last updated
03/28/2025
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