Provider Demographics
NPI:1538304282
Name:DEAN, ANGELA M (MS)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:M
Last Name:DEAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8015 SW 107TH AVE
Mailing Address - Street 2:APT 203
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4843
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8015 SW 107TH AVE
Practice Address - Street 2:APT 203
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4843
Practice Address - Country:US
Practice Address - Phone:407-342-4701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS