Provider Demographics
NPI:1043928849
Name:PONTE ALDANA, ANGEL ANTONO (APRN, RN)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:ANTONO
Last Name:PONTE ALDANA
Suffix:
Gender:M
Credentials:APRN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 SWEET MAGNOLIA PL
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-3410
Mailing Address - Country:US
Mailing Address - Phone:321-501-8019
Mailing Address - Fax:
Practice Address - Street 1:2660 SWEET MAGNOLIA PL
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-3410
Practice Address - Country:US
Practice Address - Phone:321-501-8019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11022913363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily