Provider Demographics
NPI:1477795565
Name:PADGETT, ANGEL CHRISTINE (PCT)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:CHRISTINE
Last Name:PADGETT
Suffix:
Gender:F
Credentials:PCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12906 LOVERS LN
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33579-6934
Mailing Address - Country:US
Mailing Address - Phone:813-436-1546
Mailing Address - Fax:
Practice Address - Street 1:6212 FLORIDA DR
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-2535
Practice Address - Country:US
Practice Address - Phone:813-436-1546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-03
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372600000XNursing Service Related ProvidersAdult Companion