Healthcare Provider Details

I. General information

NPI: 1295421279
Provider Name (Legal Business Name): ANGELA REED MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELA HARBOUR

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 UNDERWOOD ST
ORLANDO FL
32806-1110
US

IV. Provider business mailing address

52 UNDERWOOD ST
ORLANDO FL
32806-1110
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-5145
  • Fax:
Mailing address:
  • Phone: 321-841-3581
  • Fax: 321-841-1757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME181862
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: