ANGELIQUE M STAKE

TAMPA, FL
NPI1902115165
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  APRN9214698)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL  ARNP9214698)
Enumeration Date2010-10-05
Last Update Date2021-03-10
Business Address
ANGELIQUE M STAKE ARNP
3978 W HILLSBOROUGH AVE UNIT 21B
TAMPA, FL 33614-5628
Phone number: 813-906-1412
Mailing Address
ANGELIQUE M STAKE ARNP
6100 BLUE LAGOON DR STE 365
MIAMI, FL 33126-7010
Phone number: 786-322-7333