| Anthony D'agostino Md Pa | |
|
1350 9th St N Suite 201 Naples FL 34102-5209 | |
| (239) 262-6111 | |
| (239) 435-3920 |
| Full Name | Anthony D'agostino Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1350 9th St N, Naples, Florida |
| Authorized Official Name and Position | Anthony D'agostino (PA) |
| Authorized Official Contact | 2392626111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony D'agostino Md Pa 1350 9th St N Suite 201 Naples FL 34102-5209 Ph: (239) 262-6111 | Anthony D'agostino Md Pa 1350 9th St N Suite 201 Naples FL 34102-5209 Ph: (239) 262-6111 |
| NPI Number | 1518204619 |
|---|---|
| Provider Enumeration Date | 01/09/2013 |
| Last Update Date | 01/14/2013 |
| Medicare PECOS PAC ID | 0749433001 |
|---|---|
| Medicare Enrollment ID | O20130117000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518204619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME0066399 (Florida) | Primary |
| 291U00000X | Clinical Medical Laboratory | 10D0944089 (Florida) | Secondary |
| Provider Name | Anthony M D Agostino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679644595 PECOS PAC ID: 6800829912 Enrollment ID: I20050917000459 |
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