Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Boca Raton, FL

No coordinates on file. Search this address in Google Maps

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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