Agtarap, Paul Lucas
Agtarap, Paul Lucas is an individual health care provider with primary practice located at 1600 S Andrews Ave , Fort Lauderdale FL 33316-2510. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Agtarap, Paul Lucas can be contacted via phone (954) 355-4400.Contact Information
Primary practice address
1600 S Andrews Ave
Fort Lauderdale FL 33316-2510
Phone: (954) 355-4400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME147935 | Florida |
Profile Details
| NPI number | 1629573761 |
|---|---|
| LBN Legal business name | Agtarap, Paul Lucas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2018 |
| Last updated | Apr 3rd, 2024 - about last year |
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 | 1629573761 | NPPES |
| Florida | MEDICAID | 111120400 |
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