Agnila, Deogracias Remandaban

Agnila, Deogracias Remandaban is an sole proprietor health care provider with primary practice located at 6488 103Rd St Ste B , Jacksonville FL 32210-7161. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Agnila, Deogracias Remandaban can be contacted via phone (904) 450-6810.

Contact Information

Primary practice address
6488 103Rd St Ste B Jacksonville FL 32210-7161
Phone: (904) 450-6810
Fax: (904) 450-6729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 9256167 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9256167 Florida

Profile Details

NPI number 1154827798
LBN Legal business name Agnila, Deogracias Remandaban
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2018
Last updated Dec 20th, 2018 - about 6 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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