Provider Demographics
NPI:1922167469
Name:MOSHEY, ANGELA A (MD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:A
Last Name:MOSHEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANZHELA
Other - Middle Name:A
Other - Last Name:MOSHEYEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7857 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2600
Mailing Address - Country:US
Mailing Address - Phone:954-518-7000
Mailing Address - Fax:
Practice Address - Street 1:7857 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33067-2600
Practice Address - Country:US
Practice Address - Phone:954-518-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME133260207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110075290AMedicaid
MA110075290AMedicaid