Provider Demographics
NPI:1982029351
Name:HARVEY, ANGELA D (ARNP-C)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:D
Last Name:HARVEY
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2822 54TH AVE S STE 215
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-4610
Mailing Address - Country:US
Mailing Address - Phone:800-578-8550
Mailing Address - Fax:727-499-9886
Practice Address - Street 1:THE CENTERS
Practice Address - Street 2:5664 SW 60TH AVE
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5803
Practice Address - Country:US
Practice Address - Phone:813-289-6597
Practice Address - Fax:813-289-6592
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-21
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95010861363L00000X
FLARNP9167043363LG0600X, 363L00000X
FLAPRN9167043363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology