MEDICARE: MISS ANGELA M NEALE PA

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	363AM0700X	Medical Physician Assistant	PA9109686	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881622660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ANGELA M NEALE PA

Provider Business Mailing Address
First Line	:	6633 FOREST AVE STE 300
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-2612
Country	:	US
Telephone Number	:	727-724-8611
Fax Number	:	727-724-0425

Provider Business Practice Location Address
First Line	:	6633 FOREST AVE STE 300
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-2612
Country	:	US
Telephone Number	:	727-724-8611
Fax Number	:	727-724-0425

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

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	04/12/2023

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Directions to “ MISS ANGELA M NEALE PA” Practice Location

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