Basic Information
| Provider Information | |||||||||
| NPI: | 1023041688 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ANGELIDES | ||||||||
| FirstName: | ALEXANDRIA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9970 CENTRAL PARK BLVD N | ||||||||
| Address2: | SUITE 206 | ||||||||
| City: | BOCA RATON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334282231 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5614883128 | ||||||||
| FaxNumber: | 9544269488 | ||||||||
| Practice Location | |||||||||
| Address1: | 9970 CENTRAL PARK BLVD N | ||||||||
| Address2: | SUITE 206 | ||||||||
| City: | BOCA RATON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334282231 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5614883128 | ||||||||
| FaxNumber: | 9544269488 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VG0400X | ME0067979 | FL | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology |
No ID Information.