Individual
ANGELA ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1223 GATEWAY DR STE 1B, MELBOURNE, FL 32901-2607
(321) 312-3321
(321) 409-3685
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 312-3321
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
11000070
FL
363L00000X
Nurse Practitioner
Primary
APRN11000070
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121978200
—
FL
01
—
WK420
HFMG
FL
Enumeration date
04/05/2019
Last updated
04/10/2026
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