Aboutanos, Angela Weaver
Aboutanos, Angela Weaver is an individual health care provider with primary practice located at 2222 S Harbor City Blvd Suite 430, Melbourne FL 32901-5594. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Aboutanos, Angela Weaver can be contacted via phone (321) 541-1777.Contact Information
Primary practice address
2222 S Harbor City Blvd Suite 430
Melbourne FL 32901-5594
Phone: (321) 541-1777
Fax: (321) 725-5504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME75529 | Florida |
Profile Details
| NPI number | 1730158577 |
|---|---|
| LBN Legal business name | Aboutanos, Angela Weaver |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Sep 18th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730158577 | NPPES |
| Florida | Other | 110171606 | RAIL ROAD MEDICARE |
| Florida | MEDICAID | 373042500 | RAIL ROAD MEDICARE |
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