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NPI Code Detail

MEDICARE: ANGELA C BUSHELL

MEDICARE: ANGELA C BUSHELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther Technician
2101YM0800XMental Health CounselorMH20568FL

General Provider Information

NPI Number : 1356623870
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA C BUSHELL
Provider Business Mailing Address
First Line : 2033 WOOD ST STE 220
Second Line :
City : SARASOTA
State : FL
Zip : 34237-7927
Country : US
Telephone Number : 941-677-3366
Fax Number :
Provider Business Practice Location Address
First Line : 2033 WOOD ST STE 220
Second Line :
City : SARASOTA
State : FL
Zip : 34237-7927
Country : US
Telephone Number : 941-677-3366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2011
Last Update Date : 03/24/2022

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1285041194 — DR. SONIYA MARWAHA MD, MPH
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Directions to “ ANGELA C BUSHELL ” Practice Location

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