Dr. Tony D'agostino Dc Pa | |
1338 Del Prado Blvd S Ste 8, Cape Coral, FL 33990-3714 | |
(239) 910-7182 | |
Not Available |
Full Name | Dr. Tony D'agostino Dc Pa |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 1338 Del Prado Blvd S Ste 8, Cape Coral, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447545470 | NPI | - | NPPES |
53909Z | Other | FL | INDIVIDUAL PTAN |
CH7971 | Other | FL | STATE LICENSE NUMBER |
FB090A | Other | FL | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH7971 (Florida) | Primary |
Provider Name | Anthony G D'agostino |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1912011305 PECOS PAC ID: 8426236399 Enrollment ID: I20110623000252 |
Mailing Address | Practice Location Address |
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Dr. Tony D'agostino Dc Pa 1338 Del Prado Blvd S Ste 8, Cape Coral, FL 33990-3714 Ph: (239) 910-7182 | Dr. Tony D'agostino Dc Pa 1338 Del Prado Blvd S Ste 8, Cape Coral, FL 33990-3714 Ph: (239) 910-7182 |
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