Individual
MICHELE A. MYSNYK-DEANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5808 S JOG RD, LAKE WORTH, FL 33467-6511
(561) 968-7546
(561) 968-1143
Mailing address
5808 S JOG RD, LAKE WORTH, FL 33467-6511
(561) 968-7546
(561) 968-1143
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9101678
FL
Other
Enumeration date
01/09/2007
Last updated
09/26/2024
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