Individual
LAURIE J ANGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
403 VONDERBURG DR, STE 101, BRANDON, FL 33511-5982
(813) 681-1122
(813) 684-4924
Mailing address
403 VONDERBURG DR, STE 101, BRANDON, FL 33511-5982
(813) 681-1122
(813) 684-4924
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0037579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041435
GHI
NY
05
—
069157700
—
FL
01
—
0805214
UNITED HEALTHCARE
FL
01
—
2074191
AETNA
FL
01
—
4045617
AETNA
FL
01
—
79599
BCBS FLORIDA
FL
Enumeration date
07/01/2005
Last updated
03/17/2010
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