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Individual
DR. ANTHONY GERALD D'AGOSTINO
Active
Individual
DR. ANTHONY GERALD D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., B.A.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 7971
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381333900
—
FL
01
—
53909
FL BCBS NUMBER
FL
01
—
53909Z
INDIVIDUAL PTAN
FL
01
—
CH 7971
FL LICENSE NUMBER
FL
01
—
FB090A
GROUP PTAN
FL
Enumeration date
08/19/2006
Last updated
07/19/2011
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