Provider Demographics
NPI:1871886788
Name:ANG, JOJI (ARNP)
Entity type:Individual
Prefix:MISS
First Name:JOJI
Middle Name:
Last Name:ANG
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17928 SW 33RD CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-1636
Mailing Address - Country:US
Mailing Address - Phone:954-447-3410
Mailing Address - Fax:954-447-3410
Practice Address - Street 1:17928 SW 33RD CT
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029-1636
Practice Address - Country:US
Practice Address - Phone:954-447-3410
Practice Address - Fax:954-447-3410
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2611852363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care