Agdamag, Patrick Lee

Agdamag, Patrick Lee is an individual health care provider with primary practice located at 4691 Van Dyke Rd , Lutz FL 33558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Agdamag, Patrick Lee can be contacted via phone (813) 265-0643.

Contact Information

Primary practice address
4691 Van Dyke Rd Lutz FL 33558
Phone: (813) 265-0643
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X TRN10152 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME104157 Florida

Profile Details

NPI number 1356420061
LBN Legal business name Agdamag, Patrick Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated May 14th, 2018 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356420061 NPPES
Florida MEDICAID 000925900

Popular Providers