Healthcare Provider Details

I. General information

NPI: 1114853843
Provider Name (Legal Business Name): PROTECTING ANGELS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 NW 8TH AVE STE B5-1
GAINESVILLE FL
32601-5011
US

IV. Provider business mailing address

901 NW 8TH AVE STE B5-1
GAINESVILLE FL
32601-5011
US

V. Phone/Fax

Practice location:
  • Phone: 352-219-1661
  • Fax: 352-219-1661
Mailing address:
  • Phone: 352-219-1661
  • Fax: 352-219-1661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AMANDA MAXWELL
Title or Position: ADMINISTRATOR
Credential:
Phone: 352-219-1661