Healthcare Provider Details

I. General information

NPI: 1982096467
Provider Name (Legal Business Name): ANGEL STRACHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2015
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9439 FOREST CITY CV STE 1070
ALTAMONTE SPRINGS FL
32714-1515
US

IV. Provider business mailing address

9439 FOREST CITY CV STE 1070
ALTAMONTE SPRINGS FL
32714-1515
US

V. Phone/Fax

Practice location:
  • Phone: 689-303-5665
  • Fax:
Mailing address:
  • Phone: 689-303-5665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN31741
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: