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Angelo Custode Healthcare
Primary Care Clinic/Center in Clermont, Florida
NPI 1487056404

Angelo Custode Healthcare is a Primary Care Clinic/Center based in Clermont, FL and is specialized in Primary Care. Angelo Custode Healthcare practices in Clermont, FL. The NPI Number for Angelo Custode Healthcare is 1487056404 and holds a License No. ME98015 (Florida).

The current practice location address for Angelo Custode Healthcare is 1804 Oakley Seaver Dr, Clermont, FL and can be reached out via phone at 352-404-7815 and via fax at 352-404-9603.

Location: 1804 Oakley Seaver Dr, Clermont, FL, 34711-1925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487056404
Provider Name
Angelo Custode Healthcare
Credential
Provider Entity Type
Organization
Address
1804 Oakley Seaver Dr, Clermont, FL, 34711-1925
Phone Number
352-404-7815
Fax Number
352-404-9603
Provider Enumeration Date
09/22/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
277908100 05 FL
institution
Provider Business Practice Location Address Details
Address
1804 Oakley Seaver Dr
City
Clermont
State
Florida
Zip
34711-1925
Phone Number
352-404-7815
Fax Number
352-404-9603
person
Provider Business Mailing Address Details
Address
1804 Oakley Seaver Dr
City
Clermont
State
Florida
Zip
34711-1925
Phone Number
352-404-7815
Fax Number
352-404-9603
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
ME98015 (Florida)
Definition
Definition to come...
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