Provider Demographics
NPI:1316904659
Name:KORTE, ANGELA M (DC)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:M
Last Name:KORTE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25712 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33763-2011
Mailing Address - Country:US
Mailing Address - Phone:727-799-2225
Mailing Address - Fax:727-799-2226
Practice Address - Street 1:25712 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-2011
Practice Address - Country:US
Practice Address - Phone:727-799-2225
Practice Address - Fax:727-799-2226
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9364111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4917352OtherCIGNA PPO
MIP00287965OtherPALMETTO RAILROAD
MIAK009113OtherBCBS
MIV08308Medicare UPIN
MIN64190004Medicare ID - Type UnspecifiedMEDICARE