# HOME DOCTOR NETWORK, LLC

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

## Provider details

- **NPI number:** 1447872122
- **Authorized official:** MICHAEL PAUL BAGBY (AUTHORIZED MEMBER)
- **Authorized official phone:** (727) 415-2308

## Contact information

- **Practice address:** 5260 78TH AVE N UNIT 1562, PINELLAS PARK, FL 33780-8062
- **Practice address phone:** (727) 415-2308
- **Mailing address:** 5260 78TH AVE N UNIT 1562, PINELLAS PARK, FL 33780-8062
- **Mailing address phone:** (727) 415-2308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 170100000X | Ph.D. Medical Genetics | — | NULL | — |
| 170100000X | Ph.D. Medical Genetics | — | — | — |
| 170300000X | Genetic Counselor (M.S.) | — | NULL | — |
| 170300000X | Genetic Counselor (M.S.) | — | — | — |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 202K00000X | Phlebology Physician | — | NULL | — |
| 202K00000X | Phlebology Physician | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 05/15/2020
- **Last updated:** 11/05/2020