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General NPI Number Information
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NPI Number | 1487974168
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Entity Type | Individual
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Provider Name | JANICE SILVA ANGELES D.O
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Gender | Female
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Dates
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Enumeration Date | 06/04/2010
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 9159 W THUNDERBIRD RD
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City | PEORIA
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State | AZ
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Zip | 85381-4910
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Country | US
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Telephone | 623-815-3380
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Fax | 623-815-3381
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Provider Business Mailing Address
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Address Line | 2234 COLONIAL BLVD ATTN: PAYER CONTRACTING & RELATIONS
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City | FORT MYERS
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State | FL
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Zip | 33907-1412
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Country | US
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Telephone | 239-931-7342
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Fax | 239-931-7385
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | DO034379
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 006218
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License Number State | AZ
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