Individual
ANGELA MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 468-5276
Mailing address
9409 NW 72ND ST, TAMARAC, FL 33321-3008
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-318985
FL
Other
Enumeration date
07/11/2026
Last updated
07/11/2026
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