Organization
MDA ANGEL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAKENDRA MONIQUE WILSON RN (OWNER)
(727) 275-0459
Entity
Organization
Contact information
Practice address
3661 PRESCOTT LOOP, LAKELAND, FL 33810-2863
(727) 400-2512
Mailing address
3661 PRESCOTT LOOP, LAKELAND, FL 33810-2863
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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