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FELICITAS G AGANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1340 RIDGEWOOD AVE, HOLLY HILL, FL 32117-2320
(386) 676-7100
Mailing address
PO BOX 9671, DAYTONA BEACH, FL 32120-9671
(386) 676-7130
(386) 676-7125

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0068955
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27529
BCBS
FL
05
378482700
FL
01
ME0068955
VOLUSIA HEALTH NETWORK
FL
Enumeration date
09/29/2005
Last updated
02/23/2011
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