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NPI Code Detail

MEDICARE: ANGIE D. MYLES MSN, APRN, FNP B-C

MEDICARE: ANGIE D. MYLES MSN, APRN, FNP B-C
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
1363LF0000XFamily Nurse PractitionerAPRN11047360FL

General Provider Information

NPI Number : 1548197114
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGIE D. MYLES MSN, APRN, FNP B-C
Provider Business Mailing Address
First Line : 5715 NW 47TH AVE
Second Line :
City : TAMARAC
State : FL
Zip : 33319-3705
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3000 CORAL HILLS DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33065-4108
Country : US
Telephone Number : 954-300-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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