Provider Demographics
NPI:1699197897
Name:MONK, ANGELA SEMER (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:SEMER
Last Name:MONK
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2214 NE 15TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-8937
Mailing Address - Country:US
Mailing Address - Phone:352-262-5619
Mailing Address - Fax:
Practice Address - Street 1:2214 NE 15TH TER
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-8937
Practice Address - Country:US
Practice Address - Phone:352-262-5619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-08
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10218500174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN