Healthcare Provider Details

I. General information

NPI: 1720696313
Provider Name (Legal Business Name): FLORANGEL FELIPE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2020
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 NE MIAMI GARDENS DR
MIAMI FL
33179-4845
US

IV. Provider business mailing address

1400 NE MIAMI GARDENS DR
MIAMI FL
33179-4845
US

V. Phone/Fax

Practice location:
  • Phone: 305-244-0971
  • Fax:
Mailing address:
  • Phone: 305-244-0971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number106591600
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number106591600
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: