Mysnyk-Deangelo, Michele A.

Mysnyk-Deangelo, Michele A. is an individual health care provider with primary practice located at 951 Broken Sound Pkwy Ste 115 , Boca Raton FL 33487-3531. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Mysnyk-Deangelo, Michele A. can be contacted via phone (561) 241-6676.

Contact Information

Primary practice address
951 Broken Sound Pkwy Ste 115 Boca Raton FL 33487-3531
Phone: (561) 241-6676
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9101678 Florida

Profile Details

NPI number 1861541096
LBN Legal business name Mysnyk-Deangelo, Michele A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated May 24th, 2021 - about 3 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 1861541096 NPPES
Florida Other E6339V MEDICARE PTAN
Florida Other E6339W MEDICARE PTAN
Florida Other E6339X MEDICARE PTAN

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