Individual
ANTHONY J D'ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6821 PALISADES PARK CT, SUITE 1, FORT MYERS, FL 33912-7131
(239) 936-8555
(239) 936-5611
Mailing address
6821 PALISADES PARK CT, SUITE 1, FORT MYERS, FL 33912-7131
(239) 936-8555
(239) 936-5611
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME0072761
FL
2086S0129X
Vascular Surgery Physician
Primary
ME0072761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010621
AETNA HMO
—
01
—
21078
BLUE CROSS BLUE SHIELD
FL
05
—
253898900
—
FL
01
—
5036640
AETNA PPO
—
01
—
5786129003
CIGNA
—
01
—
770001672
RAILROAD MEDICARE
—
01
—
82507799
CHAMPUS
—
Enumeration date
08/26/2005
Last updated
08/29/2014
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