Jacob K Agamasu Md Pa

LBN: Jacob K Agamasu Md Pa
Jacob K Agamasu Md Pa is an health care organization with primary practice located at 1355 S International Pkwy Suite 1481, Lake Mary FL 32746-1694. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Jacob K Agamasu Md Pa can be contacted via phone (407) 804-9616, or through Agamasu, Jacob K via phone (407) 804-9616.

Contact Information

Primary practice address
1355 S International Pkwy Suite 1481 Lake Mary FL 32746-1694
Phone: (407) 804-9616
Fax: (407) 804-8331
Website:
Map and Directions
Authorized official contact:
Name: Agamasu, Jacob K Doctor of Medicine (MD)
Phone: (407) 804-9616

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1629151683
LBN Legal business name Jacob K Agamasu Md Pa
DBA Doing business as
Authorized official Agamasu, Jacob K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Apr 7th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629151683 NPPES
Florida Other 202573 WELLCARE
Florida Other 13045 WELLCARE

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