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Organization
SINAI INTERNAL MEDICINE SPECIALISTS
Active
Organization
SINAI INTERNAL MEDICINE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELIX C. AGBO MD (OWNER/MD)
(352) 753-2224
Entity
Organization
Contact information
Practice address
910 OLD CAMP RD, BLDG 140 SUITE 144, THE VILLAGES, FL 32162-5604
(352) 753-2224
(352) 753-0833
Mailing address
910 OLD CAMP RD, BLDG 140, SUITE 144, THE VILLAGES, FL 32162-5604
(352) 753-2224
(352) 753-0833
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME98905
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16240
BLUE CROSS BLUE SHIELD
FL
05
—
279208700
—
FL
Enumeration date
01/11/2011
Last updated
06/20/2014
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