MEDICARE: ANGEL FLORINE PYE

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	372600000X	Adult Companion

General Provider Information

NPI Number	:	1972114429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGEL FLORINE PYE

Provider Business Mailing Address
First Line	:	1704 PRINCETON AVE
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23523-2332
Country	:	US
Telephone Number	:	757-201-1508
Fax Number	:

Provider Business Practice Location Address
First Line	:	1712 PRINCETON AVE
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23523-2332
Country	:	US
Telephone Number	:	757-383-3417
Fax Number	:

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

Provider Enumeration Date	:	08/10/2020
Last Update Date	:	08/27/2020

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Directions to “ ANGEL FLORINE PYE ” Practice Location

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