Healthcare Provider Details
I. General information
NPI: 1235085648
Provider Name (Legal Business Name): ANGEL-PALMS HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2431 ALOMA AVE
WINTER PARK FL
32792-2541
US
IV. Provider business mailing address
5472 WHITE HERON PL
OVIEDO FL
32765-5008
US
V. Phone/Fax
- Phone: 904-865-7777
- Fax:
- Phone: 409-300-9955
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
COLLINS
AFANWI
Title or Position: MGR
Credential: DO
Phone: 407-300-9955