Lacson, J. Agustin

Lacson, J. Agustin is an sole proprietor health care provider with primary practice located at 3300 Us 27 S , Avon Park FL 33825-9701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Lacson, J. Agustin can be contacted via phone (863) 385-6700.

Contact Information

Primary practice address
3300 Us 27 S Avon Park FL 33825-9701
Phone: (863) 385-6700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME0072358 Florida

Profile Details

NPI number 1831153055
LBN Legal business name Lacson, J. Agustin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Sep 8th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831153055 NPPES
Florida Other 44661 BLUE CROSS BLUE SHIELD
Florida MEDICAID 024129700 BLUE CROSS BLUE SHIELD
Florida Other 110241195 BLUE CROSS BLUE SHIELD

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