MEDICARE: ANGELA M FALS MD

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	208000000X	Pediatrics Physician	ME81834	FL
2	2080B0002X	Pediatric Obesity Medicine Physician	ME81834	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	:	1982691754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA M FALS MD

Provider Business Mailing Address
First Line	:	1801 LEE RD STE 307
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-2101
Country	:	US
Telephone Number	:	407-303-9200
Fax Number	:	407-303-9201

Provider Business Practice Location Address
First Line	:	1801 LEE RD STE 307
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-2101
Country	:	US
Telephone Number	:	407-303-9200
Fax Number	:	407-303-9201

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

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	10/25/2023

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Directions to “ ANGELA M FALS MD” Practice Location

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