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Provider Information for 1992214688


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ANGELA GERMAN PhD


Other Names:  
Former Name: 
ANGELA NICHOLD HOOD

Sex: Female

NPI: 1992214688
Last Updated: 2023-11-13
Certification Date: 2023-11-13

Details

NameValue
NPI1992214688
Enumeration Date2017-09-25
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 7480 NW 13TH ST
PLANTATION, FL 33313-5924
United States

Phone: 754-308-4818 | Fax:
 
Primary Practice Address 7800 W OAKLAND PARK BLVD STE 115
SUNRISE, FL 33351-1122
United States

Phone: 954-900-2948 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDFL101521100
Other (non-Medicare)FL14095227CAQH Provider
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)FLMT3424
Yes 106H00000X - Marriage & Family Therapist FLMT3424