Provider Demographics
NPI:1881963833
Name:CARNEGIE, ANGELA M (RPH)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:M
Last Name:CARNEGIE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11021 ORANGESHIRE CT
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-5615
Mailing Address - Country:US
Mailing Address - Phone:407-877-3090
Mailing Address - Fax:
Practice Address - Street 1:680 E BURLEIGH BLVD
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-2208
Practice Address - Country:US
Practice Address - Phone:352-253-0289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS29014183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist