Healthcare Provider Details

I. General information

NPI: 1811900517
Provider Name (Legal Business Name): ANGELA SAVINO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 12/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 S CONGRESS AVE
ATLANTIS FL
33462-1149
US

IV. Provider business mailing address

DEPT AT 952288
ATLANTA GA
31192-2288
US

V. Phone/Fax

Practice location:
  • Phone: 305-503-6320
  • Fax: 305-503-5617
Mailing address:
  • Phone: 305-503-6320
  • Fax: 305-503-5617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number155160
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: