Agbulos, Gerard B
Agbulos, Gerard B is an individual health care provider with primary practice located at 1350 Hickory St Hrmc/Hospitalist Program, Melbourne FL 32901-3224. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Agbulos, Gerard B can be contacted via phone (321) 434-1771.Contact Information
Primary practice address
1350 Hickory St Hrmc/Hospitalist Program
Melbourne FL 32901-3224
Phone: (321) 434-1771
Fax: (321) 434-1775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME107948 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | FL-ME107948-A | Nebraska |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 272573 | New York |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME107948 | Florida |
Profile Details
| NPI number | 1700191053 |
|---|---|
| LBN Legal business name | Agbulos, Gerard B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2010 |
| Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700191053 | NPPES |
| Florida | MEDICAID | 002647600 |
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