Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | ME0067979 | FL |
NPI | 1023041688 |
---|---|
Provider Name | Alexandria Angelides |
First Address | Boca Raton, FL 33428-2231 |
Second Address | Boca Raton, FL 33428-2231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 08/07/2007 |