Provider Demographics
NPI:1538226279
Name:ANGLES, JOSEPH L (AP)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:L
Last Name:ANGLES
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15455 SW 75TH CIRCLE LN
Mailing Address - Street 2:APT 210
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3366
Mailing Address - Country:US
Mailing Address - Phone:786-285-4621
Mailing Address - Fax:305-821-7186
Practice Address - Street 1:1991 W 60TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7504
Practice Address - Country:US
Practice Address - Phone:305-823-1808
Practice Address - Fax:305-821-7186
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2323171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist