A World of Angels Phase 2

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

7700 Issued in FL

Legal business name

A WORLD OF ANGELS PHASE 2

Practice address

3126 NE 11TH Ter
Gainesville, FL 32609-2366

Phone

(352) 381-0080

NPI assigned

Aug 30, 2016

Last updated

Oct 10, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Joyce Fisher

Title

Owner

Phone

(352) 381-0080

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1407302441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 NE 11TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 NE 11TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092366",
            "telephone_number": "352-381-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WORLD OF ANGELS PHASE 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-381-0080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": "7700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.