Individual
COLIN D AGERTON
Active
Individual
COLIN D AGERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9105738
FL
363AS0400X
Surgical Physician Assistant
PA9105738
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004380300
—
FL
01
—
PA9105738
STATE LICENSE
FL
01
—
Y09H3
BCBS
FL
Enumeration date
10/19/2010
Last updated
07/31/2025
Update your record
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