Female

Angela B. Bray PA-C

Medical Physician Assistant in Pensacola, FL(View on Map)

Full Name

Angela B Bray PA-C

NPI Number

1558346213

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/14/2005

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Alabama
Florida

License Number

PA-377
PA9102817

Contact
Information

Purpose

Mailing
Location

Address

1055 CANDLEWOOD CIRCLE
8596 ORANGE AVENUE

City

Pensacola
Pensacola

State

FL
FL

Postal Code

32514-0000
32534

Country

US
US

Telephone Number

(850) 549-1387
(850) 549-1387

Identifiers

Identifier

59177261
291980000
891009260

Identifier State

AL
FL
AL

Identifier Issuer

BLUE CROSS BLUE SHIELD
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/12/2013

Provider Address

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