Angeloro, Michael

Angeloro, Michael is an sole proprietor health care provider with primary practice located at 995 Mar Walt Dr , Fort Walton Beach FL 32547-6758. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Angeloro, Michael can be contacted via phone (850) 863-7887.

Contact Information

Primary practice address
995 Mar Walt Dr Fort Walton Beach FL 32547-6758
Phone: (850) 863-7887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP3065242 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 155292 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 050542 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 053324-23-11 New Hampshire

Profile Details

NPI number 1053379917
LBN Legal business name Angeloro, Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2006
Last updated May 30th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053379917 NPPES
Georgia MEDICAID 000694196C

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