Angela Marie Moodie, is a
Nurse Practitioner based in Holly Hill, Florida. Angela Marie Moodie is licensed to practice in Florida (license number 9185253) and her current practice location is
1700 Ridgewood Ave, Ste H, Holly Hill, Florida. She can be reached at her office (for appointments etc.) via phone at
(386) 882-0063.
NPI number for Angela Marie Moodie is 1295221802 and her current mailing address is 921 Redwood St, Daytona Beach, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295221802.
Provider's Profile
Full Name | Angela Marie Moodie |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1700 Ridgewood Ave, Holly Hill, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295221802
- Provider Enumeration Date: 07/06/2018
- Last Update Date: 03/09/2021
Medical Identifiers
Medical identifiers for Angela Marie Moodie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295221802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 9185253 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Marie Moodie is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Angela Marie Moodie, 921 Redwood St, Daytona Beach, FL 32117-4571 Ph: (386) 882-0063 | Angela Marie Moodie, 1700 Ridgewood Ave, Ste H, Holly Hill, FL 32117-1782 Ph: (386) 882-0063 |
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