Provider Demographics
NPI:1376843565
Name:ROHRBAUGH, ANGELA BETH (APRN)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:BETH
Last Name:ROHRBAUGH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 NW 43RD ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309-4468
Mailing Address - Country:US
Mailing Address - Phone:954-253-4447
Mailing Address - Fax:
Practice Address - Street 1:3700 WASHINGTON ST STE 500B
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-8259
Practice Address - Country:US
Practice Address - Phone:954-967-6110
Practice Address - Fax:954-967-8231
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9204890363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily