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Individual

DR. MATTHEW SCOTT ANGELELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
455 W WARREN AVE, LONGWOOD, FL 32750-4038
(407) 262-2220
(407) 834-5011
Mailing address
455 W WARREN AVE, LONGWOOD, FL 32750-4038
(407) 262-2220
(407) 834-5011

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101226886
VA
2084P0800X
Psychiatry Physician
Primary
ME156524
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010241227
VA
05
1659424448
VA
Enumeration date
08/14/2006
Last updated
05/18/2022
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