Healthcare Provider Details

I. General information

NPI: 1760328850
Provider Name (Legal Business Name): ANGELA BARBOSA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: OSCAR BETANCOURT

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 GLADES RD
BOCA RATON FL
33431-7378
US

IV. Provider business mailing address

1340 FAIRFAX CIR E
BOYNTON BEACH FL
33436-8612
US

V. Phone/Fax

Practice location:
  • Phone: 561-777-9198
  • Fax:
Mailing address:
  • Phone: 561-777-9198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number299996798
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: