| Angella M John, ARNP | |
|
10 Fairway Dr Ste 305, Deerfield Beach, FL 33441-1802 | |
| (954) 744-0020 | |
| (754) 318-6211 |
| Full Name | Angella M John |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 10 Fairway Dr Ste 305, Deerfield Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962886705 | NPI | - | NPPES |
| APRN9212723 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | APRN9212723 (Florida) | Secondary |
| 208D00000X | General Practice | APRN9212723 (Florida) | Primary |
| Entity Name | Mother Daughter Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447715305 PECOS PAC ID: 4183959448 Enrollment ID: O20190710000869 |
| Entity Name | Premier Healthcare Centers, Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669931762 PECOS PAC ID: 5294064176 Enrollment ID: O20190903002516 |
| Mailing Address | Practice Location Address |
|---|---|
| Angella M John, ARNP 10 Fairway Dr Ste 305, Deerfield Beach, FL 33441-1802 Ph: (954) 744-0020 | Angella M John, ARNP 10 Fairway Dr Ste 305, Deerfield Beach, FL 33441-1802 Ph: (954) 744-0020 |
Aneeq S Rafiq, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 4020 W Hillsboro Blvd, Deerfield Beach, FL 33442 Phone: 855-226-6633 Fax: 954-983-1152 | |
Lidia Ofelia Bello, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 4020 W Hillsboro Blvd, Deerfield Beach, FL 33442 Phone: 855-226-6633 | |
Rene Casanova, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 750 S Federal Hwy, Deerfield Beach, FL 33441 Phone: 954-421-8181 Fax: 954-426-2967 |