Agudelo, Carlos A

Agudelo, Carlos A is an sole proprietor health care provider with primary practice located at 4111 Stirling Rd , Davie FL 33314-7535. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Agudelo, Carlos A can be contacted via phone (954) 608-2220.

Contact Information

Primary practice address
4111 Stirling Rd Davie FL 33314-7535
Phone: (954) 608-2220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9109267 Florida

Profile Details

NPI number 1669845285
LBN Legal business name Agudelo, Carlos A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2015
Last updated Dec 13th, 2016 - about 8 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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