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1922050400

NPI Code Detail

MEDICARE: JEFFREY O ANGLEN MD

MEDICARE: JEFFREY O ANGLEN MD

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	207XX0801X	Orthopaedic Trauma Physician	75287	GA
2	207XX0801X	Orthopaedic Trauma Physician	39104	SC
3	207X00000X	Orthopaedic Surgery Physician	01059920A	IN
4	207X00000X	Orthopaedic Surgery Physician	39104	SC
5	207XX0801X	Orthopaedic Trauma Physician	ME122977	FL
6	207X00000X	Orthopaedic Surgery Physician	58653	AZ
7	207X00000X	Orthopaedic Surgery Physician	036155689	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01570473	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	01059920A	OTHER	IN	LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	01059920B	OTHER	IN	CSR
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922050400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY O ANGLEN MD

Provider Business Mailing Address
First Line	:	PO BOX 370
Second Line	:
City	:	FORTSON
State	:	GA
Zip	:	31808-0370
Country	:	US
Telephone Number	:
Fax Number	:	706-494-3008

Provider Business Practice Location Address
First Line	:	1431 SW 1ST AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-6500
Country	:	US
Telephone Number	:	352-401-1000
Fax Number	:

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	12/01/2025

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Directions to “ JEFFREY O ANGLEN MD” 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.

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