Individual
ANGELO M LABRACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-4896
(941) 917-6884
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290922700
—
FL
Enumeration date
09/16/2005
Last updated
12/04/2020
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