Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Drue Deangelo, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366030363

Drue Deangelo, PA-C is a Physician Assistant in Boca Raton, Florida. Qualified in 2022, 4 years ago. Practices with Ima of South Florida LLC, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9325 Glades Rd Ste 208
Boca Raton, FL 33434-3988
Phone: (561) 898-0020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3200 S University Dr, Davie, FL 33328-2018 — (954) 262-1250

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9116579 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366030363
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 5, 2021
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ima Of South Florida Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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