Individual
DR. PATRICK LEE AGDAMAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4691 VAN DYKE RD, LUTZ, FL 33558
(813) 265-0643
Mailing address
4691 VAN DYKE RD, LUTZ, FL 33558-4880
(813) 265-0643
(813) 265-0649
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME104157
FL
207P00000X
Emergency Medicine Physician
TRN10152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000925900
—
FL
Enumeration date
11/03/2006
Last updated
05/14/2018
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