Individual
ANGEL R SLOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2689 SUNDANCE CIR, MULBERRY, FL 33860-6549
(863) 709-0044
(863) 709-0044
Mailing address
2689 SUNDANCE CIR, MULBERRY, FL 33860-6549
(863) 709-0044
(863) 709-0044
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230004400
—
FL
Enumeration date
04/24/2008
Last updated
01/10/2019
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