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Individual

DR. FELIX CHIEBONAM AGBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
910 OLD CAMP RD, SUITE 144, THE VILLAGES, FL 32162-5604
(352) 753-2224
(352) 753-0833
Mailing address
910 OLD CAMP RD, 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
BCBS OF FLORIDA
05
279208700
FL
Enumeration date
05/18/2007
Last updated
07/25/2012
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