Individual
ANGELA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 33027-6308
(954) 399-4642
(877) 859-8768
Mailing address
3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 33027-6308
(954) 399-4642
(877) 859-8768
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08384700
NJ
207X00000X
Orthopaedic Surgery Physician
214716
MA
207X00000X
Orthopaedic Surgery Physician
25MA08384700
NJ
208D00000X
General Practice Physician
25MA08384700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0226335
—
NJ
Enumeration date
01/22/2007
Last updated
06/29/2011
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