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
Fax: (386) 758-8802
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699775619 NPPES
Florida MEDICAID 270349100

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