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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1003863135 | NPPES |
| South Carolina | MEDICAID | 315723 | |
| South Carolina | MEDICAID | 004434500 | |
| South Carolina | MEDICAID | 7716800 |
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