Angelo Custode Healthcare

LBN: Angelo Custode Healthcare
Angelo Custode Healthcare is an health care organization with primary practice located at 1804 Oakley Seaver Dr Suite F, Clermont FL 34711-1925. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Angelo Custode Healthcare can be contacted via phone (352) 404-7815, or through Smith, Milania Alessia via phone (352) 708-6591.

Contact Information

Primary practice address
1804 Oakley Seaver Dr Suite F Clermont FL 34711-1925
Phone: (352) 404-7815
Fax: (352) 404-9603
Website:
Map and Directions
Authorized official contact:
Name: Smith, Milania Alessia Doctor of Medicine (MD)
Phone: (352) 708-6591

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X ME98015 Florida

Profile Details

NPI number 1487056404
LBN Legal business name Angelo Custode Healthcare
DBA Doing business as
Authorized official Smith, Milania Alessia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2014
Last updated Jan 20th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487056404 NPPES
Florida MEDICAID 277908100

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