Healthcare Provider Details

I. General information

NPI: 1548197114
Provider Name (Legal Business Name): ANGIE D. MYLES MSN, APRN, FNP B-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 CORAL HILLS DR
CORAL SPRINGS FL
33065-4108
US

IV. Provider business mailing address

5715 NW 47TH AVE
TAMARAC FL
33319-3705
US

V. Phone/Fax

Practice location:
  • Phone: 954-300-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11047360
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: