Agana, Felicitas G

Agana, Felicitas G is an individual health care provider with primary practice located at 1340 Ridgewood Ave , Holly Hill FL 32117-2320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Agana, Felicitas G can be contacted via phone (386) 676-7100.

Contact Information

Primary practice address
1340 Ridgewood Ave Holly Hill FL 32117-2320
Phone: (386) 676-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0068955 Florida

Profile Details

NPI number 1144217860
LBN Legal business name Agana, Felicitas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Feb 23rd, 2011 - about 14 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 1144217860 NPPES
Florida Other 27529 BCBS
Florida Other ME0068955 BCBS
Florida Other ME0068955 BCBS
Florida Other ME0068955 BCBS
Florida Other ME0068955 BCBS
Florida MEDICAID 378482700 BCBS

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