Provider Information for 1164953261
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ELBANY E ANGULO BS
Sex: Female
NPI: 1164953261
Last Updated: 2023-05-31
Certification Date: 2023-05-31
Certification Date: 2023-05-31
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1164953261 | ||||||||||||||||||||
| Enumeration Date | 2017-03-21 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 10630 NW 88TH ST #203 DORAL, FL 33178-3466 United States Phone: | Fax: | ||||||||||||||||||||
| Primary Practice Address | 10630 NW 88TH ST #203 DORAL, FL 33178-3466 United States Phone: 786-972-2940 | Fax: | ||||||||||||||||||||
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