Individual
DR. MICHAEL KEITH BAGNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9044 SW 152ND ST, PALMETTO BAY, FL 33157-1928
(305) 259-8755
(305) 252-9849
Mailing address
9044 SW 152ND ST, PALMETTO BAY, FL 33157-1928
(305) 259-8755
(305) 252-9849
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CH5986
FL
Other
Enumeration date
11/30/2006
Last updated
05/14/2012
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