Individual
ANGELA ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1658 ST VINCENTS WAY STE 210, MIDDLEBURG, FL 32068-8459
(904) 602-4481
(904) 602-4489
Mailing address
1658 ST VINCENTS WAY STE 210, MIDDLEBURG, FL 32068-8459
(904) 602-4481
(904) 602-4489
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10073174
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME180223
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2020
Last updated
05/15/2026
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