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Individual

ANGELO MARCUS MISHIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
6002 BERRYHILL RD, MILTON, FL 32570-5352
(850) 936-7880
Mailing address
5931 PARSONAGE CIR, MILTON, FL 32570-3870
(850) 384-5373

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9203321
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
267901900
FL
Enumeration date
05/14/2006
Last updated
11/16/2023
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