Individual
IDNA ANGERVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(408) 303-1900
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9323183
FL
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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