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:
Authorized official contact:
Name: Smith, Milania Alessia Doctor of Medicine (MD)
Phone: (352) 708-6591
Health care specialties
Specialty | Code | License # | 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 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487056404 | NPPES |
Florida | MEDICAID | 277908100 |
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