| Agenixed Corporation | |
|
1001 Se Ocean Blvd Suite 105 Stuart FL 34996-2511 | |
| (772) 288-6558 | |
| (772) 288-6537 |
| Full Name | Agenixed Corporation |
|---|---|
| Speciality | Pain Medicine - Pain Medicine |
| Location | 1001 Se Ocean Blvd, Stuart, Florida |
| Authorized Official Name and Position | Rafael A Castro (PRESIDENT) |
| Authorized Official Contact | 7722886558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agenixed Corporation Po Box 2380 Palm City FL 34991-7380 Ph: (772) 288-6558 | Agenixed Corporation 1001 Se Ocean Blvd Suite 105 Stuart FL 34996-2511 Ph: (772) 288-6558 |
| NPI Number | 1700095130 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700095130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME25001 (Florida) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | ME 25001 (Florida) | Primary |
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