Provider Demographics
NPI:1659863843
Name:EAKELS, ANGELA (APN)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:EAKELS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:APONTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:1707 N MILLS AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-1851
Mailing Address - Country:US
Mailing Address - Phone:407-647-3960
Mailing Address - Fax:407-413-5775
Practice Address - Street 1:1707 N MILLS AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1851
Practice Address - Country:US
Practice Address - Phone:407-647-3960
Practice Address - Fax:407-413-5775
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-04
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11014203363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty