Anglin, Mickel Wray
Anglin, Mickel Wray is an sole proprietor health care provider with primary practice located at 13045 Summerfield Square Dr , Riverview FL 33578-7402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anglin, Mickel Wray can be contacted via phone (813) 672-1385.Contact Information
Primary practice address
13045 Summerfield Square Dr
Riverview FL 33578-7402
Phone: (813) 672-1385
Fax: (813) 672-8904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME91647 | Florida |
Profile Details
| NPI number | 1013980267 |
|---|---|
| LBN Legal business name | Anglin, Mickel Wray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Oct 23rd, 2008 - about 16 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 | 1013980267 | NPPES |
| Florida | MEDICAID | 278352500 |
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