Angelina Deak, D.O
Individual provider Active NPI Family Medicine Physician · Parrish, FL
NPI 1265744973 · NPPES record last updated Jan 24, 2013
Key facts
- NPI
- 1265744973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- UO2248 (FL)
- Practice address
- 12271 US Highway 301 N
Parrish, FL 34219-8410 - Phone
- (941) 708-7669
- Fax
- (941) 708-8893
- NPI assigned
- Jul 10, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120604000337 | FL | Practitioner - Family Practice | 3779747712 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UO2248 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Physician Network LLC Series II | Current |
Accepting new patients |
Locations
1040 River Heritage Blvd
Bradenton, FL 34212
Phone (941) 917-6440
6331 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 917-5678
6331 S Tamiami Trl
#1
Sarasota, FL 34231
Phone (941) 917-5678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | UO2248 | FL | Yes |
Addresses
Primary practice location
12271 US Highway 301 N
Parrish, FL 34219-8410
Mailing address
PO Box 499
Parrish, FL 34219-0499
Phone (941) 708-7669
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005527000 | Medicaid | FL |
Other providers in Parrish, FL
- Marilyn Cruz
- Junior Cylet
- Emily Amanda Daka
- Brooke Davis
- William W Davis
- Deb'S Helping Hands, LLC
- Shannon Deckman
- Defenders for You Inc
- Amanda Rae Delcastillo
- Destination DNTL, P.a.
All providers in Parrish, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.