Michael P Angelillo, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

ME54174 Issued in FL

Practice address

3880 Coconut Creek Pkwy
#100
Coconut Creek, FL 33066

Phone

(954) 973-9666

Fax

(954) 978-6625

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coconut Creek Physicians P L

  • Internal Medicine Physician
  • Coconut Creek, FL
  • NPI 1083707202

  Rheumatology

  NPD (past) Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1992819767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 COCONUT CREEK PKWY",
            "address_2": "#100",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "33066",
            "telephone_number": "954-973-9666",
            "fax_number": "954-978-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 COCONUT CREEK PKWY",
            "address_2": "#100",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "33066",
            "telephone_number": "954-973-9666",
            "fax_number": "954-978-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELILLO",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME54174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "08357",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Alvarez, PHYSICIAN ASSISTANT
• Katherine Alvarez
• Holly Anderson
• Andrew S Cass OD PA
• Nathalie Angel, DPT
• Anling Health, LLC
• Chad Michael Anson, PHARM.D.
• Julie Antoine, PMHNP-BC
• Apoio Counseling and Consulting
• Anamaria Apoltan, MD

• Rheumatology Physician in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.