Agresta, Samuel

Agresta, Samuel is an individual health care provider with primary practice located at 12902 Magnolia Dr , Tampa FL 33612-9416. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Agresta, Samuel can be contacted via phone (813) 745-5768.

Contact Information

Primary practice address
12902 Magnolia Dr Tampa FL 33612-9416
Phone: (813) 745-5768
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME96014 Florida
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME96014 Florida

Profile Details

NPI number 1043251457
LBN Legal business name Agresta, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jan 15th, 2008 - about 18 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 1043251457 NPPES
Florida Other 54281 BLUE CROSS BLUE SHIELD

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