Healthcare Provider Details

I. General information

NPI: 1508681594
Provider Name (Legal Business Name): NP SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2024
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5360 GLOVER LN
MILTON FL
32570-4189
US

IV. Provider business mailing address

5931 PARSONAGE CIR
MILTON FL
32570-8927
US

V. Phone/Fax

Practice location:
  • Phone: 850-626-9225
  • Fax:
Mailing address:
  • Phone: 850-384-5373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANGELO MARCUS MISHIO
Title or Position: OWNER
Credential: ARNP
Phone: 850-384-5373