Organization
ISLAND PEDIATRICS OF ISLAMORADA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTI BENGTSON BAGNELL MD (PRESIDENT)
(305) 664-3384
Entity
Organization
Contact information
Practice address
81599 OLD HWY, ISLAMORADA, FL 33036-3711
(305) 664-3384
Mailing address
81599 OLD HWY, ISLAMORADA, FL 33036-3711
(305) 664-3384
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME103085
FL
Other
Enumeration date
11/15/2006
Last updated
03/18/2009
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