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General NPI Number Information
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NPI Number | 1972819670
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Entity Type | Organization
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Legal Business Name | ANGEL'S MEDICAL COMPANY
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Dates
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Enumeration Date | 08/19/2010
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 5240 GOLDEN GATE PKWY
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City | NAPLES
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State | FL
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Zip | 34116-7670
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Country | US
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Telephone | 239-234-6835
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Fax | 239-331-2362
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Provider Business Mailing Address
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Address Line | 5038 CORONADO PKWY
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City | NAPLES
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State | FL
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Zip | 34116-6950
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Country | US
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Telephone | 239-234-6835
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Fax | 239-331-2362
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Authorized Official
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Title or Position | OWNER
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Name | ISRAEL IGLESIAS
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Credential |
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Telephone | 239-234-6835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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