Individual
DR. AGUSTIN M IBARROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12955 PALMS WEST DR STE 101, LOXAHATCHEE, FL 33470
(561) 798-1515
(561) 798-9282
Mailing address
6415 LAKE WORTH RD STE 102, GREENACRES, FL 33463-3009
(561) 331-0808
(561) 331-5263
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME71752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250929600
—
FL
Enumeration date
09/20/2005
Last updated
06/19/2019
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