MEDICARE: JEFFREY L ANGEL M.D.

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	207VM0101X	Maternal & Fetal Medicine Physician	ME0038567	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851390462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY L ANGEL M.D.

Provider Business Mailing Address
First Line	:	13601 BRUCE B DOWNS BLVD
Second Line	:	SUITE 250
City	:	TAMPA
State	:	FL
Zip	:	33613-4657
Country	:	US
Telephone Number	:	813-971-6909
Fax Number	:	813-971-6985

Provider Business Practice Location Address
First Line	:	13601 BRUCE B DOWNS BLVD
Second Line	:	SUITE 250
City	:	TAMPA
State	:	FL
Zip	:	33613-4657
Country	:	US
Telephone Number	:	813-971-6909
Fax Number	:	813-971-6985

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

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	04/14/2014

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