National Provider Identifier Database

KENDRA D DEANGELIS, MD – NPI #1043506595
Ophthalmic Plastic and Reconstructive Surgery

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.


Contact Information

KENDRA D DEANGELIS, MD
28050 US HWY 19 N #402
CLEARWATER, FL33761-2629
Phone: 727-285-8006
Fax: 727-216-6560
Website:
Specialty Taxonomy Code
* Ophthalmic Plastic and Reconstructive Surgery 207WX0200X
Ophthalmology 207W00000X

* Indicates primary specialty

NPI Profile & details for KENDRA D DEANGELIS

NPI Number 1043506595
Credentials MD
Entity Individual
Enumeration date 06/23/2011
Last updated 11/10/2025 - About 7 months ago
Sole proprietor1 No
Identifiers
  • FL License #: 136932
  • FL License #: ME136932
  • Other: DUPRY BCBS GROUP
  • FL Other: LWBRR BCBS
  • FL Other: 13809966 CAQH
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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