Agnone, Louis Michael
Agnone, Louis Michael is an individual health care provider with primary practice located at 3635 S. Clyde Morris Blvd Ste 100, Port Orange FL 32129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Agnone, Louis Michael can be contacted via phone (386) 788-1242.Contact Information
Primary practice address
3635 S. Clyde Morris Blvd Ste 100
Port Orange FL 32129
Phone: (386) 788-1242
Fax: (386) 758-8802
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME 56146 | Florida |
Profile Details
NPI number | 1699775619 |
---|---|
LBN Legal business name | Agnone, Louis Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 1st, 2005 |
Last updated | May 19th, 2011 - about 13 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 | 1699775619 | NPPES |
Florida | MEDICAID | 270349100 |
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