MEDICARE: GABRIELLA ANGULO BSN,MSN,ARNP,PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	9177466	FL
2	363LF0000X	Family Nurse Practitioner	9177466	FL

General Provider Information

NPI Number	:	1073771846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLA ANGULO BSN,MSN,ARNP,PMHNP

Provider Business Mailing Address
First Line	:	13399 SW 28TH ST
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-3880
Country	:	US
Telephone Number	:	305-761-1025
Fax Number	:	888-370-3135

Provider Business Practice Location Address
First Line	:	13399 SW 28TH ST
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-3880
Country	:	US
Telephone Number	:	305-761-1025
Fax Number	:	888-370-3135

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2008
Last Update Date	:	04/13/2026

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