Individual
ANGELA LYNN LEGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 HUNT CLUB LN, VALRICO, FL 33594-5121
(813) 789-3643
Mailing address
1114 HUNT CLUB LN, VALRICO, FL 33594-5121
(813) 789-3643
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9256688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9256688
—
FL
Enumeration date
03/02/2022
Last updated
03/02/2022
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