Agocha, Augustine Enyinna

Agocha, Augustine Enyinna is an individual health care provider with primary practice located at 3000 Medical Park Dr Ste 300 , Tampa FL 33613-4696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Agocha, Augustine Enyinna can be contacted via phone (813) 497-9661.

Contact Information

Primary practice address
3000 Medical Park Dr Ste 300 Tampa FL 33613-4696
Phone: (813) 497-9661
Fax: (813) 615-8468
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME111542 Florida

Profile Details

NPI number 1003863135
LBN Legal business name Agocha, Augustine Enyinna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Sep 22nd, 2021 - about 4 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 1003863135 NPPES
South Carolina MEDICAID 315723
South Carolina MEDICAID 004434500
South Carolina MEDICAID 7716800

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