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Organization
BETHSAIDA HEALTHCARE SYSTEM INC
Active
Organization
BETHSAIDA HEALTHCARE SYSTEM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX C AGBO MD (OWNER)
(352) 753-2224
Entity
Organization
Contact information
Practice address
2986 COUNTY ROAD 503, WILDWOOD, FL 34785-8013
(352) 753-2224
(353) 753-0833
Mailing address
910 OLD CAMP RD STE 144, THE VILLAGES, FL 32162-5609
(352) 753-2224
(353) 753-0833
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/20/2018
Last updated
06/30/2025
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