Stapleton-Mackenzie, Angela Kay

Stapleton-Mackenzie, Angela Kay is an individual health care provider with primary practice located at 731 N Clyde Morris Blvd , Daytona Beach FL 32114-1603. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Stapleton-Mackenzie, Angela Kay can be contacted via phone (386) 257-1626.

Contact Information

Primary practice address
731 N Clyde Morris Blvd Daytona Beach FL 32114-1603
Phone: (386) 257-1626
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 136291 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 113071 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60776458 Washington
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME161192 Florida

Profile Details

NPI number 1518969575
LBN Legal business name Stapleton-Mackenzie, Angela Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Jun 28th, 2023 - 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 1518969575 NPPES
Missouri MEDICAID 205213010
Missouri Other 27472051

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