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Angel's Legacy, Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
ANGEL'S LEGACY, LLC11044667882020-10-11
Other Names:
Entity TypeOrganization
Provider OrganizationANGEL'S LEGACY, LLC
Practice Office Address777 N ORANGE AVE APT 716
ORLANDO, FL US
Practice Office Telephone4073101707
Practice Office Fax8775385599
Mailing Address777 N ORANGE AVE APT 716
ORLANDO, FL 328011188 US
Business Telephone4073101707
Business Fax8775385599
Authorized OfficialALEX REY CARDONA, PRESIDENT/CHIEF
4073101707
HPT Codes
CodeLicense NoState
251B00000X PRIMARY
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]
NCAGE Code
7TP63

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