Individual
KEVIN NUGENT NUGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12922 N ALBANY AVE, TAMPA, FL 33612-3908
(813) 294-0169
Mailing address
PO BOX 271131, TAMPA, FL 33688-1131
(813) 294-0169
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
109892
FL
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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