Provider Demographics
NPI:1558191718
Name:FABIOLA ANGLADE-PASCAL, PLLC
Entity type:Organization
Organization Name:FABIOLA ANGLADE-PASCAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP/PMHNP
Authorized Official - Prefix:MRS
Authorized Official - First Name:FABIOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGLADE-PASCAL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:941-628-0651
Mailing Address - Street 1:27520 PASTO DR
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33983-5874
Mailing Address - Country:US
Mailing Address - Phone:941-628-0651
Mailing Address - Fax:
Practice Address - Street 1:514 E GRACE ST
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-6121
Practice Address - Country:US
Practice Address - Phone:941-833-3850
Practice Address - Fax:941-833-3851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty