MEDICARE: MS. ANGELINE LOW CPT CHC CLC

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	251S00000X	Community/Behavioral Health Agency
2	104100000X	Social Worker		FL

General Provider Information

NPI Number	:	1730958612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANGELINE LOW CPT CHC CLC

Provider Business Mailing Address
First Line	:	523 GREEN SPRING CIR
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-3030
Country	:	US
Telephone Number	:	407-815-4910
Fax Number	:

Provider Business Practice Location Address
First Line	:	523 GREEN SPRING CIR
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-3030
Country	:	US
Telephone Number	:	407-815-4910
Fax Number	:

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

Provider Enumeration Date	:	12/20/2023
Last Update Date	:	10/09/2025

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