Individual
ANGELLA M JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10 FAIRWAY DR STE 305, DEERFIELD BEACH, FL 33441-1802
(954) 744-0020
(754) 318-6211
Mailing address
10 FAIRWAY DR STE 305, DEERFIELD BEACH, FL 33441-1802
(954) 744-0020
(754) 318-6211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
APRN9212723
FL
208D00000X
General Practice Physician
Primary
APRN9212723
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN9212723
STATE LICENSE
FL
Enumeration date
07/10/2015
Last updated
03/04/2025
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