Provider Demographics
NPI:1295924595
Name:FRANZ, ANGELA P (PA)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:P
Last Name:FRANZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:P
Other - Last Name:MCCALL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 13859
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-3859
Mailing Address - Country:US
Mailing Address - Phone:850-877-4134
Mailing Address - Fax:850-877-2072
Practice Address - Street 1:1714 MAHAN CENTER BLVD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5427
Practice Address - Country:US
Practice Address - Phone:850-877-4134
Practice Address - Fax:850-877-2072
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA3005363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE3347ZMedicare PIN