MEDICARE: ANGELICA MARIA OAKLEY N.P.

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	363LP2300X	Primary Care Nurse Practitioner	11034181	FL

General Provider Information

NPI Number	:	1528896628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELICA MARIA OAKLEY N.P.

Provider Business Mailing Address
First Line	:	336 N BROMELIAD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-7740
Country	:	US
Telephone Number	:	239-245-4265
Fax Number	:

Provider Business Practice Location Address
First Line	:	6023 INTERBAY BLVD UNIT 1
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-4770
Country	:	US
Telephone Number	:	239-245-4265
Fax Number	:

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

Provider Enumeration Date	:	07/22/2024
Last Update Date	:	08/06/2024

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