MEDICARE: BIANCA ANGHEL SLP

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	235Z00000X	Speech-Language Pathologist	SA18915	FL

General Provider Information

NPI Number	:	1780016014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIANCA ANGHEL SLP

Provider Business Mailing Address
First Line	:	373 SW FAIRWAY AVE
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34983-3013
Country	:	US
Telephone Number	:	305-915-8445
Fax Number	:

Provider Business Practice Location Address
First Line	:	373 SW FAIRWAY AVE
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34983-3013
Country	:	US
Telephone Number	:	305-915-8445
Fax Number	:

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

Provider Enumeration Date	:	08/09/2013
Last Update Date	:	03/11/2024

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Directions to “ BIANCA ANGHEL SLP” Practice Location

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