Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | ME69298 | FL |
NPI | 1073557815 |
---|---|
Provider Name | Dr. Farahnaz Angella |
First Address | Atlantis, FL 33462-6641 |
Second Address | Atlantis, FL 33462-6641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 31/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
262752300 | (05) | FL |
H42861 | (02) |