Deangelis, Kendra Denise

Deangelis, Kendra Denise is an individual health care provider with primary practice located at 2963 Gulf To Bay Blvd Ste 267 , Clearwater FL 33759-4209. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Deangelis, Kendra Denise can be contacted via phone (787) 285-8006.

Contact Information

Primary practice address
2963 Gulf To Bay Blvd Ste 267 Clearwater FL 33759-4209
Phone: (787) 285-8006
Fax: (727) 216-6560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X ME136932 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME136932 Florida

Profile Details

NPI number 1043506595
LBN Legal business name Deangelis, Kendra Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2011
Last updated Apr 2nd, 2024 - about 2 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 1043506595 NPPES
Other DUPRY BCBS GROUP
Other LWBRR BCBS GROUP
Other 13809966 BCBS GROUP

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