MEDICARE: ANGEL L PADILLA CSFA

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
1	246ZS0410X	Surgical Technologist

General Provider Information

NPI Number	:	1396012159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGEL L PADILLA CSFA

Provider Business Mailing Address
First Line	:	PO BOX 1520
Second Line	:
City	:	EDGEWATER
State	:	FL
Zip	:	32132-8520
Country	:	US
Telephone Number	:	407-302-0089
Fax Number	:

Provider Business Practice Location Address
First Line	:	9051 SSG CHRIS FALKEL DR
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-3188
Country	:	US
Telephone Number	:	720-516-0600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2011
Last Update Date	:	04/05/2026

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