Organization
ANGELO CUSTODE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILANIA ALESSIA SMITH MD (PTDS)
(352) 708-6591
Entity
Organization
Contact information
Practice address
1804 OAKLEY SEAVER DR, SUITE F, CLERMONT, FL 34711-1925
(352) 404-7815
(352) 404-9603
Mailing address
1804 OAKLEY SEAVER DR, SUITE F, CLERMONT, FL 34711-1925
(352) 404-7815
(352) 404-9603
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME98015
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277908100
—
FL
Enumeration date
09/22/2014
Last updated
01/20/2016
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