| Street | Corso Pietro Pisani, 92 | ||
| City/Town | Palermo | ||
| State/Province/Region | Palermo | ||
| Zip/Postal Code | 90129 | ||
| Phone Number | 339 660 0612 | ||
| Country | Italy |
| Full Name | Dott. Flavio De Angelis | ||
| Gender | male | ||
| Birthday | 1976-06-14 | ||
| Social Security Number | ZQTOLP70T53I416G |
| Credit card brand | JCB | ||
| Credit card number | 3537548954399147 | ||
| Expire | 2028/2 | ||
| CVV | 453 |