Angelo Custode Healthcare

NPI #1487056404 in Clermont, Florida

Provider Information

NPI Number
1487056404
Entity Type
Organization
Organization Name
Angelo Custode Healthcare
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Sep 22, 2014
Last Updated
Jan 20, 2016

Practice Location

Address
1804 OAKLEY SEAVER DR
Address 2
SUITE F
State
Florida
ZIP Code
34711-1925
Phone
(352) 404-7815

Authorized Official

Name
MILANIA ALESSIA SMITH, MD
Title
PTDS
Phone
(352) 708-6591

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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Provider Name
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