Bagnoli, Stephen

Bagnoli, Stephen is an individual health care provider with primary practice located at 3599 University Blvd S Suite 901, Jacksonville FL 32216-4252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Bagnoli, Stephen can be contacted via phone (904) 398-6971.

Contact Information

Primary practice address
3599 University Blvd S Suite 901 Jacksonville FL 32216-4252
Phone: (904) 398-6971
Fax: (904) 398-2497
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME0045005 Florida

Profile Details

NPI number 1649270638
LBN Legal business name Bagnoli, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2005
Last updated Apr 8th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649270638 NPPES
Florida MEDICAID 036050300

Popular Providers