Healthcare Provider Details

I. General information

NPI: 1922655729
Provider Name (Legal Business Name): ANGELA L PERKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2019
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 SE 9TH CT
POMPANO BEACH FL
33060-8817
US

IV. Provider business mailing address

181 SE 9TH CT
POMPANO BEACH FL
33060-8817
US

V. Phone/Fax

Practice location:
  • Phone: 954-773-1970
  • Fax:
Mailing address:
  • Phone: 954-773-1970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI7947
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: