Individual
MR. JUAN GUILLERMO ANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
11880 SW 40TH ST STE 304C, MIAMI, FL 33175-3574
(305) 223-8919
(305) 223-8650
Mailing address
11880 SW 40TH ST STE 304, MIAMI, FL 33175-3574
(305) 223-8808
(305) 223-8974
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ARNP9416109
FL
363LF0000X
Family Nurse Practitioner
ARNP9416109
FL
363LP0200X
Pediatric Nurse Practitioner
ARNP9416109
FL
Other
Enumeration date
07/30/2018
Last updated
11/26/2018
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