Agamasu, Jacob K

Agamasu, Jacob K is an sole proprietor health care provider with primary practice located at 731 Stirling Center Pl Unit 1911 , Lake Mary FL 32746-5209. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Agamasu, Jacob K can be contacted via phone (407) 804-9616.

Contact Information

Primary practice address
731 Stirling Center Pl Unit 1911 Lake Mary FL 32746-5209
Phone: (407) 804-9616
Fax: (407) 804-8331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME85101 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME85101 Florida

Profile Details

NPI number 1194774604
LBN Legal business name Agamasu, Jacob K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Mar 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194774604 NPPES
Florida Other 13045 BC

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