Provider Demographics
NPI:1699489534
Name:GARZON, ANGELA MELISSA
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:MELISSA
Last Name:GARZON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 OAKCREST CT
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-1707
Mailing Address - Country:US
Mailing Address - Phone:863-337-1125
Mailing Address - Fax:
Practice Address - Street 1:1370 OAKCREST CT
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-1707
Practice Address - Country:US
Practice Address - Phone:863-337-1125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator