MEDICARE: ANGELIQUE WHITEHOUSE

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1710849443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELIQUE WHITEHOUSE

Provider Business Mailing Address
First Line	:	26011 LOBLOLLY LN
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34639-5615
Country	:	US
Telephone Number	:	802-893-2288
Fax Number	:

Provider Business Practice Location Address
First Line	:	26011 LOBLOLLY LN
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34639-5615
Country	:	US
Telephone Number	:	802-893-2288
Fax Number	:

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

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

Similar Medicare Providers

1659252823 — LOVE ELDER VISITS
Practice Location Address:

26011 LOBLOLLY LN
LAND O LAKES, FL
34639-5615

Practice Phone: 813-586-0503
Practice Fax:

1326372418 — KAROLY VARGA M.D.
Practice Location Address:

5615 TWIN RIVERS CT
SUGAR LAND, TX
77479-7133

Practice Phone: 713-254-2747
Practice Fax: 281-208-7551

1083014757 — AXO AESTHETICS PA
Practice Location Address:

5615 TWIN RIVERS CT
SUGAR LAND, TX
77479-7133

Practice Phone: 713-254-2747
Practice Fax:

1568026185 — DR. VANCE WEN FA KU OD
Practice Location Address:

5615 RIVERSTONE CROSSING DR
SUGAR LAND, TX
77479-4869

Practice Phone: 303-907-8781
Practice Fax:

1114913688 — DR. BASIL MANGRA MD
Practice Location Address:

3296N STATE ROAD 7
LAUDERDALE LAKES, FL
33319-5615

Practice Phone: 954-484-6440
Practice Fax: 954-909-5381

1063503001 — CERTIFIED HEALTH CARE SERVICES, INC.
Practice Location Address:

3296 N STATE ROAD 7
LAUDERDALE LAKES, FL
33319-5615

Practice Phone: 954-677-9500
Practice Fax: 954-677-9200

Directions to “ ANGELIQUE WHITEHOUSE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.