Bagley, Adam Walker

Bagley, Adam Walker is an individual health care provider with primary practice located at 2100 Kingsley Ave , Orange Park FL 32073-5130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Bagley, Adam Walker can be contacted via phone (904) 276-0001.

Contact Information

Primary practice address
2100 Kingsley Ave Orange Park FL 32073-5130
Phone: (904) 276-0001
Fax: (904) 276-5333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME123101 Florida

Profile Details

NPI number 1649595216
LBN Legal business name Bagley, Adam Walker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2010
Last updated Aug 15th, 2025 - about last year

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 1649595216 NPPES
Florida Other P01510416 RR MEDICARE

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