NPI Code Details Logo

NPI 1922050400

NPI 1922050400 : JEFFREY O ANGLEN MD : OCALA, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1922050400
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JEFFREY O ANGLEN MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/16/2006
-----------------------------------------------------
    Last Update Date     |    12/01/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1431 SW 1ST AVE 
-----------------------------------------------------
    City                 |    OCALA
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    34471-6500
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    352-401-1000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 370 
-----------------------------------------------------
    City                 |    FORTSON
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31808-0370
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    706-494-3008
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207XX0801X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Trauma Physician
-----------------------------------------------------
    License Number       |    75287
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207XX0801X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Trauma Physician
-----------------------------------------------------
    License Number       |    39104
-----------------------------------------------------
    License Number State |    SC
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    01059920A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    39104
-----------------------------------------------------
    License Number State |    SC
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    207XX0801X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Trauma Physician
-----------------------------------------------------
    License Number       |    ME122977
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    58653
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    036155689
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.