| Motaz Agabani, M.d., Pa | |
|
2650 Bahia Vista St Suite 104 Sarasota FL 34239-2635 | |
| (941) 330-8355 | |
| (941) 330-1445 |
| Full Name | Motaz Agabani, M.d., Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2650 Bahia Vista St, Sarasota, Florida |
| Authorized Official Name and Position | Donna Agabani (OFFICE MANAGER) |
| Authorized Official Contact | 9413308355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Motaz Agabani, M.d., Pa 2650 Bahia Vista St Suite 104 Sarasota FL 34239-2635 Ph: (941) 330-8355 | Motaz Agabani, M.d., Pa 2650 Bahia Vista St Suite 104 Sarasota FL 34239-2635 Ph: (941) 330-8355 |
| NPI Number | 1144521642 |
|---|---|
| Provider Enumeration Date | 11/15/2010 |
| Last Update Date | 11/15/2010 |
| Medicare PECOS PAC ID | 9537345913 |
|---|---|
| Medicare Enrollment ID | O20110519000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144521642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME75756 (Florida) | Primary |
| Provider Name | Motaz Agabani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750479952 PECOS PAC ID: 9335325711 Enrollment ID: I20110519000438 |
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