David, Agnes G.

David, Agnes G. is an individual health care provider with primary practice located at 1370 13Th Avenue Suite 119, Jacksonville Beach FL 32250-3206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. David, Agnes G. can be contacted via phone (904) 249-4994.

Contact Information

Primary practice address
1370 13Th Avenue Suite 119 Jacksonville Beach FL 32250-3206
Phone: (904) 249-4994
Fax: (904) 249-2604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0069602 Florida

Profile Details

NPI number 1497713614
LBN Legal business name David, Agnes G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jun 23rd, 2011 - about 15 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 1497713614 NPPES
Other 1817346 CIGNA
Other 7726223 CIGNA
Other 277501 CIGNA
Other 35919 CIGNA
Other P00198232 CIGNA

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