Angelo Custode Healthcare

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME98015 Issued in FL

Legal business name

ANGELO CUSTODE HEALTHCARE

Practice address

1804 Oakley Seaver Dr
Suite F
Clermont, FL 34711-1925

Phone

(352) 404-7815

Fax

(352) 404-9603

NPI assigned

Sep 22, 2014

Organization subpart

No

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

Authorized official

Name

Milania Alessia Smith, MD

Title

PTDS

Phone

(352) 708-6591

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew L Smith, M.D.

  • Pediatrics Physician
  • Clermont, FL
  • NPI 1659361749
  NPD (past)

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1487056404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 OAKLEY SEAVER DR",
            "address_2": "SUITE F",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111925",
            "telephone_number": "352-404-7815",
            "fax_number": "352-404-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 OAKLEY SEAVER DR",
            "address_2": "SUITE F",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111925",
            "telephone_number": "352-404-7815",
            "fax_number": "352-404-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELO CUSTODE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MILANIA",
        "authorized_official_middle_name": "ALESSIA",
        "authorized_official_title_or_position": "PTDS",
        "authorized_official_telephone_number": "352-708-6591",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME98015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277908100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon Samuel Andrews Jr., APRN
• Roseline Andrieux
• Anesthesiologists of Greater Orlando Inc
• Anesthesiologists of Greater Orlando Inc
• Anesthesiologists of Greater Orlando Inc
• Michael Anis, MD
• Sydney Nicole Anliker, M.S CF-SLP
• Sandeep Anreddy, MD
• Alexa Antonelli
• Blanca M Aponte-Garcia, MS

• Primary Care Clinic/Center in Clermont, FL
• Providers in Clermont, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.