# MOTAZ AGABANI, M.D., PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144521642
- **Authorized official:** MRS. DONNA AGABANI (OFFICE MANAGER)
- **Authorized official phone:** (941) 330-8355

## Contact information

- **Practice address:** 2650 BAHIA VISTA ST, SUITE 104, SARASOTA, FL 34239-2635
- **Practice address phone:** (941) 330-8355
- **Practice address fax:** (941) 330-1445
- **Mailing address:** 2650 BAHIA VISTA ST, SUITE 104, SARASOTA, FL 34239-2635
- **Mailing address phone:** (941) 330-8355
- **Mailing address fax:** (941) 330-1445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | ME75756 | FL | Yes |

## Other

- **Enumeration date:** 11/15/2010
- **Last updated:** 11/15/2010