Organization
GASTROINTESTINAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS M AGNONE MD (COORDINATING PARTNER)
(386) 788-1242
Entity
Organization
Contact information
Practice address
3635 S CLYDE MORRIS BLVD, SUITE 100, PORT ORANGE, FL 32129-2300
(386) 788-1242
(386) 788-4255
Mailing address
3635 S CLYDE MORRIS BLVD, SUITE 100, PORT ORANGE, FL 32129-2300
(386) 788-1242
(386) 788-4255
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME56146
FL
Other
Enumeration date
01/25/2007
Last updated
05/06/2008
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