MEDICARE: ANGEL CHILDREN'S THERAPIES

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	174400000X	Specialist

General Provider Information

NPI Number	:	1700877974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL CHILDREN'S THERAPIES

Provider Business Mailing Address
First Line	:	2555 N DIXIE HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-6250
Country	:	US
Telephone Number	:	561-585-4881
Fax Number	:	561-585-7452

Provider Business Practice Location Address
First Line	:	2555 N DIXIE HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-6250
Country	:	US
Telephone Number	:	561-585-4881
Fax Number	:	561-585-7452

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	MISS MARGARITA C GUTIERREZ
Credential	:	M.S., C.C.C., S.L.P.
Telephone Number	:	561-585-4881

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1750372926 — MISS MARGARITA C GUTIERREZ M.S., C.C.C., S.L.P.
Practice Location Address:

2555 N DIXIE HWY
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33460-6250

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1356312086 — ANDREA RITA BERNIER-DRUMMOND M.S. CCC-SLP
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1770555039 — MRS. SEJAL PATEL MS, OTR/L
Practice Location Address:

2555 N DIXIE HWY
LAKE WORTH, FL
33460-6250

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Practice Fax:

1699724005 — RAFAEL UBEDA MD
Practice Location Address:

2531 N DIXIE HWY
LAKE WORTH, FL
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1457366072 — O2M NEBMED INC
Practice Location Address:

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1477621373 — DR. GONZALO GONZALEZ M.D.
Practice Location Address:

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Directions to “ANGEL CHILDREN'S THERAPIES ” Practice Location

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