Individual
DR. BRENT J AGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26212 US HIGHWAY 19 N, CLEARWATER, FL 33761-3580
(727) 230-1438
(727) 230-1437
Mailing address
26212 US HIGHWAY 19 N, CLEARWATER, FL 33761-3580
(727) 230-1438
(727) 230-1437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME83513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262969100
—
FL
05
—
2629691000
—
FL
Enumeration date
04/28/2006
Last updated
08/26/2014
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