Individual
ANGELICA STRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 SE 15TH ST, OCALA, FL 34471
(352) 426-0023
Mailing address
1207 SE 15TH ST, OCALA, FL 34471
(352) 426-0023
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905373
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141485200
—
FL
05
—
678018196
—
FL
Enumeration date
05/20/2008
Last updated
04/19/2016
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