Individual provider · NPI-1

Angelika Marie Agudelo, NP-C

Nurse Practitioner, Family · Ocala, FL

NPI number1265057798
StatusActive
Last updated in NPPESJan 18, 2021

Details

NPI
1265057798
Entity type
Individual (NPI-1)
Name
Angelika Marie Agudelo
Credential
NP-C
Sex
Female
Sole proprietor
No
Enumeration date
Jun 10, 2020
Certification date
Jan 18, 2021
Last updated
Jan 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN111010838FLYes
363LF0000X Nurse Practitioner, FamilyF05200259FL

Practice location

1901 Se 18th Ave Ste 300
Ocala, FL 34471-8214

Phone 352-351-1313

Mailing address

12109 County Road 103
Oxford, FL 34484-2951

Phone 352-205-8981 · Fax 352-391-6498

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